Homemade Glove Port for Single-Incision Pediatric Endosurgery (SIPES) Appendectomy-How We Do It

Illya Martynov, Martin Lacher, Illya Martynov, Martin Lacher

Abstract

Introduction Single-incision pediatric endosurgery (SIPES) for the treatment of acute appendicitis in children has recently gained popularity due to its advantages including minimization of postoperative scars or less incisional pain. The principal disadvantages of SIPES include the limited degrees of freedom of movement and high health care costs. To overcome these issues, some surgeons have reported to use noncommercial ports for SIPES appendectomy. Case Report In this report, we present a case of a 10-year-old female patient with acute appendicitis undergoing SIPES appendectomy using own homemade glove port and straight rigid instruments. Conclusion SIPES appendectomy using the glove port is a low-cost alternative to commercially available port systems. It is easy to set up and use.

Keywords: appendicitis; children; glove port; single-incision pediatric endosurgery.

Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Equipment used for single-incision pediatric endosurgery with glove port.
Fig. 2
Fig. 2
Hitch stich to facilitate removal of the Alexis-Port.
Fig. 3
Fig. 3
The fixation of 5-mm trocar between the trocar valve and the Alexis-Port.
Fig. 4
Fig. 4
Comparison of ranges of motion between homemade glove port and a commercially available device (Tri-Port, Olympus, Center Valley, PA).

References

    1. Lacher M, Muensterer O J, Yannam G R et al.Feasibility of single-incision pediatric endosurgery for treatment of appendicitis in 415 children. J Laparoendosc Adv Surg Tech A. 2012;22(06):604–608.
    1. St Peter S D, Adibe O O, Juang D et al.Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial. Ann Surg. 2011;254(04):586–590.
    1. Lacher M, Kuebler J F, Yannam G R et al.Single-incision pediatric endosurgery for ovarian pathology. J Laparoendosc Adv Surg Tech A. 2013;23(03):291–296.
    1. Mahdi B D, Rahma C, Mohamed J, Riadh M. Single-port laparoscopic surgery in children: a new alternative in developing countries. Afr J Paediatr Surg. 2015;12(02):122–125.
    1. Khiangte E, Newme I, Phukan P, Medhi S. Improvised transumbilical glove port: a cost effective method for single port laparoscopic surgery. Indian J Surg. 2011;73(02):142–145.
    1. Orozakunov E, Akyol C, Kayilioglu S I, Tantoglu U, Basceken S, Cakmak A. Single-port laparoscopic surgery by use of a surgical glove port: initial experience with 25 cases. Chirurgia (Bucur) 2013;108(05):670–672.
    1. Rao P P, Rao P P, Bhagwat S. Single-incision laparoscopic surgery - current status and controversies. J Minim Access Surg. 2011;7(01):6–16.
    1. Muensterer O J, Perger L, Hansen E N, Lacher M, Harmon C M. Single-incision pediatric endosurgical Nissen fundoplication. J Laparoendosc Adv Surg Tech A. 2011;21(07):641–645.
    1. Oltmann S C, Garcia N M, Ventura B, Mitchell I, Fischer A C. Single-incision laparoscopic surgery: feasibility for pediatric appendectomies. J Pediatr Surg. 2010;45(06):1208–1212.
    1. Perez E A, Piper H, Burkhalter L S, Fischer A C. Single-incision laparoscopic surgery in children: a randomized control trial of acute appendicitis. Surg Endosc. 2013;27(04):1367–1371.
    1. Lee S M, Hwang G S, Lee D S. Single-incision laparoscopic appendectomy using homemade glove port at low cost. J Minim Access Surg. 2016;12(02):124–128.
    1. Lee S E, Choi Y S, Kim B G, Cha S J, Park J M, Chang I T. Single port laparoscopic appendectomy in children using glove port and conventional rigid instruments. Ann Surg Treat Res. 2014;86(01):35–38.
    1. Tsushimi T, Mori H, Sudo M, Minami Y, Ueki K, Tamai M. Single-incision laparoscopic appendectomy for acute appendicitis using a 10-mm laparoscope and the glove port technique. Pak J Med Sci. 2017;33(02):276–279.
    1. Di Saverio S, Mandrioli M, Birindelli A et al.Single-incision laparoscopic appendectomy with a low-cost technique and surgical-glove port: “how to do it” with comparison of the outcomes and costs in a consecutive single-operator series of 45 cases. J Am Coll Surg. 2016;222(03):e15–e30.
    1. Deie K, Uchida H, Kawashima H, Tanaka Y, Masuko T, Takazawa S. Single-incision laparoscopic-assisted appendectomy in children: exteriorization of the appendix is a key component of a simple and cost-effective surgical technique. Pediatr Surg Int. 2013;29(11):1187–1191.
    1. Kulaylat A N, Podany A B, Hollenbeak C S, Santos M C, Rocourt D V. Transumbilical laparoscopic-assisted appendectomy is associated with lower costs compared to multiport laparoscopic appendectomy. J Pediatr Surg. 2014;49(10):1508–1512.
    1. Litz C, Danielson P D, Gould J, Chandler N M. Financial impact of surgical technique in the treatment of acute appendicitis in children. Am Surg. 2013;79(09):857–860.
    1. Ko Y S, Yoon S Y, Han H J, Yim T W, Song T J. A new glove port for single incision procedure. Ann Surg Treat Res. 2015;89(05):284–286.

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit