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A modified laparoscopic entry technique using a finger.

H Grundsell, G Larsson

    Obstetrics and Gynecology
    |April 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    This study introduces a simple, safe open laparoscopy technique to reduce complications, particularly in patients with prior abdominal surgery. The method involves finger-guided entry for safe abdominal access and exploration before insufflation.

    Area of Science:

    • Minimally Invasive Surgery
    • Surgical Techniques
    • Laparoscopy

    Background:

    • Laparoscopy can have complications, especially in patients with previous laparotomy.
    • The Hasson and Grimes open laparoscopy techniques were developed to mitigate these risks.
    • These methods involve a minilaparotomy for abdominal entry.

    Purpose of the Study:

    • To present a simple and safe laparoscopic entry technique.
    • To reduce the complication rate associated with laparoscopy.
    • To provide a method suitable for patients with prior abdominal surgery.

    Main Methods:

    • A simple infraumbilical incision through skin and fascia.
    • Digital perforation of preperitoneal fat and peritoneum for entry.
    • Intra-abdominal adhesion assessment using the index finger.

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  • Carbon dioxide insufflation via a sleeve, followed by standard optic insertion.

    • Main Results:

    • The described technique is simple and safe for laparoscopic entry.
    • It allows for direct exploration of the entry site for adhesions.
    • The method aims to reduce complications in a challenging patient group.

    Conclusions:

    • This finger-guided laparoscopic entry technique offers a safe and effective alternative.
    • It is particularly beneficial for reducing complications in patients with prior abdominal surgery.
    • The simplicity of the method facilitates its widespread adoption in laparoscopic procedures.