EVALUATION OF TRANSUMBILICAL ROUTE AS PRIMARY PORT IN LAPAROSCOPIC GYNECOLOGICAL SURGERIES

Abstract

Background: Minimally invasive surgeries such as laparoscopic surgeries have become the order of the day for many surgical diseases.Singleport transumbilical laparoscopy, also known as embryonic natural orice transumbilical endoscopic surgery (E-NOTES), has emerged as an attempt to further enhance cosmetic benets and reduce morbidity of minimally invasive surgery.The main aim of this study was to assess the port site infection, cosmetic, patient satisfaction and outcome. Methods: Retrospective review was conducted 100 patients who underwent laparoscopic surgeries were included in the study and demographic details were noted for all the patients. All of them were given prophylactic antibiotics before the surgery and the surgeries were performed under anesthesia. Results: Atotal of 100 cases were studied. Tubal ligation was the main indication of surgery. The mean time recorded to establish pneumoperitoneum was 15-45 seconds. Post-operative primary port site infection rate was 3%. No intra-abdominal injury was noted during the entry of primary port and there was no port site hematoma or recorded hernia over the period of month Conclusion: Laparoscopy offers the advantage of rapid post op recovery.This technique of trans-umbilical primary port placement is one of the safest, fastest and easiest techniques to enter the peritoneal cavity