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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.
Journal of Pediatric Surgery
|March 8, 2011
Summary
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.