Laparoscopic Single Port Appendectomy Using Intraperitoneally Placed Magnetic Camera

Single Port Appendectomy has been described. One of the problems of single port surgery is that there are limited valves for insertion of instruments and that the instruments tend to clash with the camera outside as the point of ingress is the same. Caddedu and colleagues have been working on a magnetic camera that can be placed intraperitoneally and controlled by a magnet from outside.This would seem ideal for suh indications , as not only does it prevent clashing with the instruments, but it also frees up a valve for use with another instrument. We present the first human experience with this camera. A young boy with acute appendicitis was subjected to single port appendectomy using the R port. The camera was placed intra peritoneally and controlled from outside by a magnet placed on the skin. It sticks to the inner parietal wall and can be moved all over the abdomen.The wire of the camera was externed by the side of the R port. The case was successfully completed and the boy discharged the next day. The short paper describes our experience and talks about limitations of the camera and the innovations needed. Certain limitations include inability to clean the lens and angulate the lens. The cable which needs to come out can be done away with if one has a remote controlled, wireless camera. Magnetic control also means that one may not get adequate control over a thick parietal wall. With certain improvements, we feel this technique may hold a lot of promise for the future.

Session: Podium Presentation

Program Number: S065

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