Single Incision Laparoscopic Surgery with Homemade Glove Port: Tips and Tricks

Taylan Sezer, MD, Hayrullah Yildirim, MD, Ozgur Firat, MD, Ilhami Solak, MD, Cuneyt Hoscoskun, MD

Ege University School of Medicine, Department of General Surgery

Objective: Single incision laparoscopic surgery (SILS) is a novel technique and provide excellent cosmesis. We presented an easy, feasible and cost-effective method for single incision laparoscopic surgery.

Method: We performed 41 SILS procedure From January 2012 to January 2013. In this technique, we used one powder free glove (left or right), one 3/0 polypropylene suture, two cable ties insteed of wound retractor which is used other homemade glove port techniques. Outcome measures included need for conversion, operative time, length of hospitalization, cosmetic outcome, and complications.

Results: There were 31 cholecystectomies, 4 appendectomies, 4 inguinal hernias, and 2 umblical hernias with a median operative time of 45, 25, 65 and 29 minutes, respectively. Mean hospital stay was 1.2 days for cholecystectomy, 1.2 days for appendectomy, 1day for transabdominal preperitoneal hernia repair, and 1 day for umblical hernia repair. All umblical scar was well. There were no perioperative port-related or surgical complications. Only one patients convert to normal laparascopy than open surgery in cholecystectomy group.

Conclusions: Single Incision Laparoscopic Surgery with Homemade Glove Port is easy in experienced laparoscopic surgeons. Our homemade glove port is easy to use and cost-effective than the other homemade gloveport.

Session: Poster Presentation

Program Number: ETP015

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