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Use of 3 mm percutaneous instruments with 5 mm end effectors during different laparoscopic procedures
Giulia David1, Luigi Boni1, Stefano Rausei1
1Department of Surgical and Morphological Sciences Insubria, University of Insubria Varese, 1st Division of Surgery Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Background And Purpose:
With a recent focus on minimizing the visibility of scars, new techniques have been developed. Minilaparoscopy reemerged as an attractive option for surgery as it limits tissue trauma, reduces post-operative pain and improves cosmesis. This study was designed to describe our experience with percutaneous trocarless 3 mm instruments used in combination with standard 5 mm and 10 mm laparoscopic instruments in different general surgery procedures.
Methods:
We used the PSS (Percutaneous Surgical Set, Ethicon Endo surgery, Cincinnati, OH, USA) in different surgical procedures as accessory instruments in combination with standard 5 mm and 10 mm standard laparoscopic instruments.
Main Findings:
The use of percutaneous instruments was safe and feasible in all performed procedures. The surgical technique was not modified. The percutaneous instruments can assure a good grip and can be used for traction and counter-traction. No complications have been described. No pain at the site of insertion has been reported. The skin, muscle and peritoneal defects were smaller than with the 3 mm laparoscopic traditional instruments.
Conclusions:
Percutaneous approach seems to be a good option in general surgery in terms of efficiency, offering better cosmetic results and good pain control.
