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Jain point: an alternate laparoscopic non-umbilical first blind entry port to avoid vessel, viscera, adhesions and bowel (VVAB).
Jain, Nutan; Jain, Vandana; Chandi, Anadeep; Srivastava, Sakshi; Singh, Shalini; Vasundhara, N.
Afiliação
  • Jain N; Department of Obstetrics and Gynecology, GSVM Medical College, Affiliated By Kanpur University, Kanpur, India. jainnutan@gmail.com.
  • Jain V; Vardhman Trauma and Laparoscopy Centre Pvt. Ltd, 3rd KM, Jansath Road, Muzaffarnagar, 251001, Uttar Pradesh, India. jainnutan@gmail.com.
  • Chandi A; Vardhman Trauma and Laparoscopy Centre Pvt. Ltd, 3rd KM, Jansath Road, Muzaffarnagar, 251001, Uttar Pradesh, India.
  • Srivastava S; Department of Obstetrics and Gynecology, Kasturba Hospital, Affiliated By Delhi University, New Delhi, India.
  • Singh S; Vardhman Trauma and Laparoscopy Centre Pvt. Ltd, 3rd KM, Jansath Road, Muzaffarnagar, 251001, Uttar Pradesh, India.
  • Vasundhara N; Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, India.
Updates Surg ; 73(6): 2321-2329, 2021 Dec.
Article em En | MEDLINE | ID: mdl-34121164
The Jain point entry is based on the concept of non-umbilical entry to avoid sudden catastrophic injury to major retroperitoneal vessels, viscera, adhesions and bowel which could happen before the start of procedure by blind umbilical entry. To study the safety and efficacy of a novel first non-umbilical blind entry port. Tertiary referral centre for advanced laparoscopic surgeries with active training and fellowship programs. A large retrospective study of 7802 cases done at Vardhman Infertility & Laparoscopy Centre from January 2011 to December 2020. In all cases, first blind entry was by veress needle and 5 mm trocar and telescope through a non-umbilical port, The Jain point, irrespective of BMI, large masses, lax abdomen, previous surgery and complex situations. Patients' demographic profile, types of surgeries performed and entry-related complications were recorded and analysed. Mean age of patients was 33 years with BMI ranging from 12.66 to 54.41 kg/m2. Thus, Jain point can be applicable for all ranges of BMI, all types of surgeries from simple to complex and large masses. Entry related minor complications were in 3.4% cases while major complication involving bowel occurred in one case. No case of injury to major retro-peritoneal vessel was seen. Jain point entry is a novel, first blind 5 mm non-umbilical, entry technique in a variety of surgeries and previous scars and patients with wide range of BMI. It has a short learning curve and continues as main ergonomic working port.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vísceras / Laparoscopia Tipo de estudo: Observational_studies Limite: Adult / Humans Idioma: En Revista: Updates Surg Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Índia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Vísceras / Laparoscopia Tipo de estudo: Observational_studies Limite: Adult / Humans Idioma: En Revista: Updates Surg Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Índia