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A simple way to fix a trocar during pediatric laparoscopy
Carolina Millán1, Horacio Bignon, Enrique Buela
1Department of Surgery, Fundación Hospitalaria, Private Children's Hospital, Ciudad Autónoma de Buenos Aires, Argentina.
Insights
A new technique secures trocars to the abdominal wall in pediatric patients using sutures and a plastic seal. This simple, fast, and inexpensive method is effective for all trocar sizes.
Area of Science:
- Pediatric Surgery
- Surgical Techniques
- Minimally Invasive Surgery
Background:
- Securing trocars to the abdominal wall is crucial in pediatric laparoscopy.
- Existing methods may be time-consuming or complex.
Purpose of the Study:
- To present a novel, simple, and effective method for fixing trocars in pediatric abdominal surgery.
- To improve the efficiency and reliability of trocar fixation.
Main Methods:
- A 2/0 silk suture is passed through the skin adjacent to the inserted trocar.
- A sterile Nylon 6.6 plastic seal is secured around the trocar and suture.
- Suture ends are tied over the plastic seal for fixation.
- A specialized fastening device was introduced to expedite the process.
Main Results:
- The described method offers a simple, fast, and efficacious approach to trocar fixation.
- The technique is cost-effective and suitable for all available trocar sizes.
- The addition of a fastening device further enhances procedural speed.
Conclusions:
- This suture and plastic seal technique provides a reliable and inexpensive solution for trocar fixation in pediatric laparoscopy.
- The method is easily implementable and adaptable to various surgical scenarios.
Abstract:
We introduce a simple method of fixing trocars to the abdominal wall in children. After the trocar is inserted into the abdominal wall, we place a 2/0 silk suture through the skin next to the trocar, then a sterile Nylon 6.6 plastic seal (Sumar Inc, Buenos Aires, Argentina) is wrapped around the trocar and the end of one of the sutures. Lastly, both suture ends are tied around the plastic seal. To further ease and speed the procedure, we recently introduced a plastic seal fastening device. This method is simple, fast, efficacious, and inexpensive and can be used with all trocar sizes.