A retrospective study of a novel non-umbilical laparoscopic entry port in thin patients\u2014Jain point

Nutan Jain,Shalini Singh,Vandana Jain,Kiran Kumari Mandal,Richa Kalia,Apoorva Walia

doi:10.1186/s10397-020-01080-5

Abstract

BackgroundTo bring forth a novel non-umbilical entry port in case of thin patient.MethodsThis is a retrospective study carried out at Vardhman Trauma and Laparoscopy Centre on thin patients from 2011 to 2019. Out of 7324 patients operated between 1 January 2011 and 31 December 2019 at this hospital, 398 met the criteria for thin patients (BMI < 18.5 kg/m2).ResultsA total of 398 patients who underwent laparoscopy surgery through the Jain point were classified as thin (BMI < 18.5 kg/m2) patients. Infertility evaluation hystero-laparoscopy (30.40%), endometriosis (17.08%), and myomectomy (13.32%) followed by genital tuberculosis (11.5%) and ovarian tumors (4.01%) were the most common indications for surgery. None of the thin patients operated had any major vascular or bowel injury.ConclusionThe Jain point can be an alternative non-umbilical primary entry port in thin patients especially when conventional techniques are contraindicated.

Highlights

Nowadays, minimally invasive surgery has gradually taken over as the preferred technique and enjoys vast popularity in patients and surgeons
This study presents the data about the Jain point as an alternate non-umbilical entry port especially in thin patients
This study describes our experience with the Jain point in 398 thin patients

Summary

Introduction

Minimally invasive surgery has gradually taken over as the preferred technique and enjoys vast popularity in patients and surgeons. Despite tremendous advances in newer techniques and instrumentation, certain complications related to the laparoscopic approach need to be considered with the utmost attention The complications, such as vascular or visceral injuries that occur during the first blind Veress needle or primary trocar insertion, are completely unknown in conventional open procedures. Sharp emphasized the need of non-umbilical entry in low-BMI patients [10] All these concerns prompted us to analyze an alternate entry method as a first blind non-umbilical entry that we call “the Jain point” [11,12,13,14,15]. It is located 10–13 cm lateral in the left para-umbilical position To bring forth a novel non-umbilical entry port in case of thin patient

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Results

Discussion

Conclusion