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MINI TWO PORT LAPAROSCOPIC APPENDECTOMY WITH NOVEL KNOTTING TECHNIQUE

Jitendra T Sankpal, MBBS, MS, FMAS, FIAGS, FALS1, Priyanka Saha, MBBS1, Ameya S Gadkari, MBBS1, Atish K Parikh, MBBS1, Mukund B Tayade, MBBS, MS1, Ajay H Bhandarwar, MBBS, MS1, Manjiri J Sankpal, MBBS, MS2, Dnyaneshwar V Raut, MBBS1. 1Grant Government Medical College And Sir J.J. Group of Hospitals, 2New Millenium Hospital

INTRODUCTION:AN EASY AND COST EFFECTIVE MINI TWO PORT APPENDECTOMY IS MADE POSSIBLE WITH AN UNIQUE INTRACORPOREAL KNOTTING THROUGH A SINGLE 5 mm PORT WITH A SINGLE INSTRUMENT THUS REDUCING NUMBER AND SIZE OF PORTS AND WITH A BETTER COSMETIC RESULT.

MATERIALS AND METHOD: TOTAL 200 PATIENTS UNDERWENT LAPAROSCOPIC APPENDECTOMY OUT OF WHICH, MINI TWO PORT APPENDECTOMY WITH NOVEL KNOTTING TECHNIQUE COULD BE SUCCESSFULLY PERFORMED ON 168 PATIENTS (84%) AND REMAINING 32 PATIENTS ( 16%) REQUIRED CONVENTIONAL THREE PORT TECHNIQUE.

RESULTS: PATIENT UNDERGOING TWO PORT LAPAROSCOPIC APPENDECTOMY HAD SHORTER OPERATIVE TIME WITH BETTER COSMETIC RESULT WITH NO INCIDENCE OF PORT SITE HERNIA. THERE WAS NO DIFFICULTY IN ADHESIOLYSIS AND INTRA OPERATIVE BLEEDING CONTROL.

CONCLUSION: INVENTION OF THIS NOVEL KNOTTING TECHNIQUE TO LIGATE / TRANSFIX BASE OF APPENDIX DURING TWO PORT APPENDECTOMY  IS AN SAFE AND COST EFFECTIVE INTERMEDIATE OPTION FROM CONVENTIONAL THREE PORT TO NOTES/ SILS/ STAPLER APPENDECTOMY.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86557

Program Number: V191

Presentation Session: Wednesday Video Loop (Non CME)

Presentation Type: VideoLoop

35

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