x

Virtual Poster Details

Name
10225 - High Jain Point in Large Masses.
Presenting Author
Nutan Jain
Affiliation
Vardhman Hospital
Abstract
Study Objective: To study the safety of the High Jain Point for first blind laparoscopic entry in cases of large masses with or without previous surgery.

Design: The High Jain Point is placed on a line going vertically upwards from the Jain Point to the subcostal margin. It is an extension of Jain Point to accommodate the first blind entry in large masses. The idea is to make a lateral, high port to remain outside and above the larger masses.

Setting: Tertiary referral centre.

Patients or Participants: We did 612 cases out of which one third had previous surgeries, with masses weighing above 500gms, and ovarian cyst more than 10cm.

Interventions: We made first blind entry in 612 patients from the High Jain Point. Veress needle is entered and then first blind 5mm trocar is introduced .A 360॰ Check of the large masses and upper abdominal structures is done. Then the 10mm port is introduced according to the size of the mass. This High Jain Point remains outside the surgical field much laterally and is used as an ergonomic main working port throughout the surgery.

Measurements and Main Results: We did 612 cases of big masses, out of which 195 had previous surgeries ranging from previous one to six surgeries. No visceral or bowel injury noted. No adhesions were noted below the High Jain Point.

Conclusion: A High Jain Point port makes a safe first blind entry for larger masses with or without previous surgeries and is found to be ergonomic.

Authors

Jain, N*. Gynaecologist, Vardhman Hospital, Muzaffarnagar, India, Jain, V. gynecologist, Vardhman Hospital, Muzaffarnagar, India, Gupta, S. General Surgeon, Vardhman Hospital, Muzaffarnagar, Uttar Pradesh, India

Primary Category
New Instrumentation or Technology
Secondary Category
New Instrumentation or Technology
Close