Laparoscopy rein and a backward needle entrance

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Laparoscopy

Background:

• Growing interest in single-port, natural orifice surgery necessitates techniques with reduced percutaneous assistance.
• Current laparoscopic approaches often require multiple ports, limiting maneuverability.
• Need for innovative solutions to enhance surgical control in reduced-port procedures.

Purpose of the Study:

• To present a novel, easily assembled surgical rein for improved traction and triangulation.
• To offer a cost-effective solution for common challenges in laparoscopic surgery.
• To reduce the need for additional ports in minimally invasive procedures.

Main Methods:

• A surgical rein was constructed using a 6-cm straight cutting needle, 2-0 nylon suture, and a stopper clip.
• The technique involves securing the needle and suture to create a traction device.
• An optional method for reversing the needle placement is described for narrow cannulas.

Main Results:

• The developed rein is simple, inexpensive, and easy to assemble.
• The technique effectively addresses traction and triangulation issues in laparoscopic surgery.
• No additional ports were required when utilizing this rein.

Conclusions:

• The described surgical rein is a practical and economical tool for laparoscopic surgeons.
• This technique can enhance surgical precision and reduce invasiveness.
• It offers a valuable alternative for improving instrument manipulation in reduced-port surgery.