Premium
HAND‐ASSISTED LAPAROSCOPY ON A SHOESTRING
Author(s) -
Antony Luke,
Laim Eunice,
Chung Sydney S. C.
Publication year - 2007
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2007.04223.x
Subject(s) - medicine , fibrous joint , pneumoperitoneum , surgery , laparoscopy , abdominal wall , new guinea , ethnology , history
Background: Hand‐assisted laproscopic surgery is useful in difficult laproscopic operations. Expensive and cumbersome devices are necessary to ensure airtightness between the surgeon’s hand and the abdominal wall so that pneumoperitoneum can be maintained. Method: A simple method of maintaining pneumo‐peritoneum in hand‐assited laproscopic surgery was carried out by tying a strong nylon suture in a criss‐cross fashion on one end of the incision. Airtightness was maintained by tightening the suture around the wrist and wedging the dorsum of the hand against the abdominal wall. Result: The method was used successfully to remove a pyonephrotic left kidney in a 28‐year‐old man from Papua New Guinea. Conclusion: Hand‐assisted laproscopic operations can be carried out expediently and inexpensively without specialized equipment by simply tying a shoestring suture at one end of the wound.