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A simple and secure method to fix laparoscopic trocars in children
1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China. surgeonyip@yahoo.com
Summary
A novel technique secures pediatric trocars using Tegaderm adhesive and silk sutures, preventing trocar movement during surgery. This simple, fast, and secure method enhances abdominal wall fixation for pediatric surgical procedures.
Area of Science:
- Pediatric Surgery
- Surgical Techniques
- Medical Devices
Background:
- Pediatric laparoscopic surgery requires secure fixation of trocars to prevent complications.
- Existing methods for trocar fixation may be cumbersome or less secure in pediatric patients.
Purpose of the Study:
- To introduce a simple, fast, and secure method for fixing trocars to the abdominal wall in pediatric patients.
- To describe a technique that effectively restrains both inward and outward trocar movement.
Main Methods:
- A piece of Tegaderm polyurethane adhesive is applied to the trocar before insertion.
- A silk stitch is anchored to the skin and then passed through the adhesive over the trocar shaft.
- This secures the trocar, preventing unwanted displacement.
Main Results:
- The described method provides secure fixation for pediatric trocars.
- The technique is applicable to trocars of all sizes.
- It effectively restrains both inward and outward movement of the trocar.
Conclusions:
- This novel method offers a simple, fast, and secure approach to pediatric trocar fixation.
- The technique enhances surgical safety and efficiency in pediatric laparoscopy.
- It is a versatile solution applicable across various trocar sizes.
