scholarly journals Triple umbilical incision for videlaparoscopic cholecystectomy

2020 ◽  
Vol 44 (1) ◽  
pp. 22-25
Author(s):  
Héctor Rolando Herrera-Cabral ◽  
Angel Julián Acevedo Jara ◽  
Nelson Inocencio Ortellado-Narváez ◽  
Luz Analía Pedrozo-Amarilla
Keyword(s):  
Umbilical Incision

scholarly journals The safety and efficacy of the trans-umbilical approach for pyloroplasty in the management of post-acid corrosive gastric outlet obstruction in children

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Essam A. Elhalaby ◽  
Nezar Abd Erouf Abo Halawa ◽  
Ismael E. Elhalaby ◽  
Dina Shawky ◽  
Hussam Hassan ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Esophageal Stricture ◽  
Surgical Techniques ◽  
Outlet Obstruction ◽  
Skin Incision ◽  
Definitive Treatment ◽  
Endoscopic Dilatation ◽  
Umbilical Incision ◽  
Pyloric Stricture ◽  
Corrosive Ingestion

Abstract Background Gastric outlet obstruction (GOO) may follow acid corrosive ingestion. Several surgical techniques have been reported after the failure of endoscopic dilatation. The aim of this study was to evaluate the feasibility and safety of Heinecke-Mikulicz pyloroplasty (HMP) through a circum-umbilical skin incision in children with pyloric stricture after accidental acid corrosive ingestion. Results Seven patients were males and 4 were females, their ages ranged from 17 months to 6 years at the time of definitive treatment. The surgery was completed successfully in all patients through the circum-umbilical incision. Vertical extension of skin incision was needed in one patient. The pylorus was grossly affected in 9 patients. Both pylorus and gastric antrum were involved in 2 patients. Nine patients had an excellent postoperative course with the cessation of vomiting and progressive weight gain. One patient developed postoperative recurrent stricture treated by gastrojejunostomy. Another patient with associated esophageal stricture responded to repeated endoscopic dilatation for the esophageal stricture and pyloroplasty for the pyloric stricture. No surgical site infection or wound dehiscence occurred in any patient. Conclusion Heinecke-Mikulicz pyloroplasty through a circum-umbilical approach is both feasible and safe in the majority of children with post-acid corrosive GOO. It is associated with satisfactory wound healing and excellent cosmetic outcome. Different techniques are recommended in cases of severe pyloric stricture associated with significant proximal gastric antral scarring.

scholarly journals Evaluation of systemic inflammatory responses in cholecystectomy by means of access. Single-port umbilical incision, transvaginal NOTES, laparoscopy and laparotomy

2015 ◽  
Vol 30 (10) ◽  
pp. 691-703 ◽  
Author(s):  
Elesiário Marques Caetano Júnior ◽  
Josiel Paiva Vieira ◽  
Rita Maria A Monteiro Moura-Franco ◽  
Rogerio Aoki Fuziy ◽  
Humberto Oliveira Serra ◽  
...  
Keyword(s):  
Inflammatory Responses ◽  
Single Port ◽  
Umbilical Incision

719 LAPAROENDOSCOPIC SINGLE-SITE NEPHRECTOMY USING A MODIFIED UMBILICAL INCISION AND A HOMEMADE TRANSUMBILICAL PORT

2010 ◽  
Vol 183 (4S) ◽  
Author(s):  
Won Sik Ham ◽  
Ho Song Yu ◽  
Won Sik Chang ◽  
Woong Kyu Han ◽  
Koon Ho Rha ◽  
...  
Keyword(s):  
Single Site ◽  
Umbilical Incision ◽  
Laparoendoscopic Single Site

Minimization of Wound With the Assistance of a Needle Grasper in Single-Incision Laparoscopic Appendectomy

2019 ◽  
Vol 26 (5) ◽  
pp. 536-544
Author(s):  
Beom-Jin Kim ◽  
Jong Won Kim ◽  
Yoo Shin Choi ◽  
Yong Gum Park ◽  
Beom Gyu Kim ◽  
...  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Medical Records ◽  
Operative Time ◽  
Single Incision ◽  
Pain Intensity Score ◽  
Short Term ◽  
Umbilical Incision ◽  
Telephone Interviews ◽  
Intensity Score ◽  
Glove Port

Background. Technical difficulties and pain from large wounds have prevented the widespread use of single-incision laparoscopic appendectomy (SILA). This study aimed to evaluate the efficacy of our newly developed needle grasper (Endo Relief)-assisted SILA (NASILA). Methods. For NASILA, about a 12-mm umbilical incision was made, and a glove port was introduced. A needle grasper was then introduced through a 2.5-mm wound on the suprapubic area. For SILA, a 2.5-cm transumbilical wound was made. The medical records of patients who underwent SILA or NASILA from June 2017 to September 2017 were retrospectively reviewed. Operative and short-term postoperative outcomes and results of telephone interviews for scars were compared. Results. A total of 49 patients in the SILA group (male: 40.8%) and 12 in the NASILA group (male: 50.0%) were included. Appendicitis status (not perforated:perforated without abscess:perforated with abscess) was significantly different between the 2 groups (SILA vs NASILA, 30:18:1 vs 4:6:2, P = .027). Additional trocars were inserted in 9 patients (18.4%) of the SILA group. The operative time was significantly shorter (43.3 ± 33.6 vs 54.1 ± 15.6 minutes, P = .012), and the highest numerical pain intensity score during the first 24 hours after surgery was significantly lower (2.4 ± 0.7 vs 3.0 ± 0.9, P = .038) in the NASILA group than in the SILA group. Hospital stay, postoperative complications, and complaint of scar were not significantly different between the 2 groups. Conclusions. NASILA was not inferior to SILA regarding cosmetic results. Operative convenience is higher in NASILA than in SILA, and the smaller surgical wound in NASILA minimizes postoperative pain.

scholarly journals Six Cases of Simultaneous Reduced Port Laparoscopic Surgery for Synchronous Gastric and Colorectal Cancer

2016 ◽  
Vol 103 (5-6) ◽  
pp. 248-254
Author(s):  
Tadashi Yoshida ◽  
Hideki Kawamura ◽  
Shigenori Homma ◽  
Susumu Shibasaki ◽  
Tatsushi Shimokuni ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Total Gastrectomy ◽  
Anterior Resection ◽  
Distal Gastrectomy ◽  
Flank Region ◽  
Right Hemicolectomy ◽  
First Report ◽  
Umbilical Incision ◽  
Reduced Port

We report 6 cases of simultaneous resection of synchronous gastric and colorectal cancer using a multichannel port and an additional 5-mm port. This is the first report of simultaneous gastric and colorectal resection using a reduced port technique. A multichannel port was inserted into an umbilical incision, and another 5-mm port in the right flank region. We named this approach “dual port surgery.” This report includes a 76-year-old man who underwent total gastrectomy and left hemicolectomy, a 70-year-old woman who underwent distal gastrectomy and high anterior resection, a 75-year-old man who underwent distal gastrectomy and right hemicolectomy, a 72-year-old man who underwent total gastrectomy and sigmoidectomy, a 67-year-old man who underwent distal gastrectomy and high anterior resection, and a 57-year-old woman who underwent distal gastrectomy and right hemicolectomy. All operations were successful. All patients recovered quickly, and were discharged without any intra- or postoperative complications. On a median follow-up of 14.5 months, all patients remain well with no evidence of recurrent malignancy. This is the first report of simultaneous reduced port laparoscopic surgery for synchronous gastric and colorectal cancer. This procedure was performed safely and successfully.

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