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A novel technique to prevent inadvertent sheath migration
Thai T Nguyen1, David S Wang, Howard N Winfield
1Department of Urology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1089, USA.
Urology
|August 2, 2003
Summary
Trocar-sheath migration during surgery can cause injury. A new technique uses a Penrose drain collar to effectively prevent trocar-sheath movement, enhancing surgical safety.
Area of Science:
- Surgical techniques
- Minimally invasive surgery
- Medical device safety
Background:
- Inadvertent trocar-sheath migration is a complication in laparoscopic surgery.
- This migration can lead to surgeon frustration and potentially severe visceral injuries.
- Existing methods to prevent migration may be insufficient or cumbersome.
Purpose of the Study:
- To describe a novel, simple technique for preventing trocar-sheath migration.
- To offer a practical solution to enhance safety during laparoscopic procedures.
Main Methods:
- A 0.25-inch Penrose drain is utilized.
- The drain is wrapped around the trocar-sheath unit, creating a collar.
- This collar acts as a physical barrier to prevent caudal migration.
Main Results:
- The Penrose drain collar effectively prevents trocar-sheath migration.
- The technique is simple to implement during surgery.
- It provides a secure fixation of the trocar sheath.
Conclusions:
- This novel technique offers a reliable and easy method to prevent trocar-sheath migration.
- Implementing this technique can reduce the risk of visceral injury associated with trocar migration.
- It represents a valuable addition to the armamentarium for ensuring surgical safety in laparoscopy.