MODIFIED SCANDINAVIAN TECHNIQUE ?? AN OPEN ACCESS TECHNIQUE FOR PRIMARY TROCAR IN LAPAROSCOPIC SURGERY

Abstract

S. R. Dhamotharan1, J. John Kennedy2, J. Christeena Indrani3

BACKGROUND This study derives the advantages of Modified Scandinavian technique over the other techniques in laparoscopy.
METHODOLOGY
This is a prospective study involving 50 patients presenting with acute or chronic abdominal conditions who underwent laproscopic surgeries with Modified Scandinavian technique at Government Rajaji Hospital,Madurai between September 2013-2015. Fifty cases with acute or chronic abdominal conditions like calculous cholecystitis, cholelithiasis, acute or subacute or chronic appendicitis, carcinoma rectum, etc without comorbidities were selected and studied in detail. A structured profoma was used to collect relevant information for each induvidual patient selected.
RESULTS
Out of 50 patients, none of them had intraoperative complications like bowel injury, vascular injury, preperitoneal insufflation or gas embolism. Only one patient had minor wound infection. 38 patients were followed up. No patient had any sequelae of incisional hernia or other complications.
CONCLUSION
According to this study, Modified Scandinavian open access technique is the safest technique for all patients particularly for thin individuals, suspected TB and patients with previous abdominal surgery. It is fast and easy to perform when compared with Hasson open technique.1

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