title: Single-site multi-port laparoscopic endo-surgery: the SIMPLE technique--a useful method of purely umbilical porting that ensures triangular laparoscopic ergonomics.
abstract: Umbilical single-port surgery is a recent development that produces better cosmesis and lesser pain. However, the steep learning curve and the higher surgical expense have led to its rather sceptical acceptance. In this regard, a technique is hereby described in which three ports are directly inserted on the umbilical mound (without raising the umbilical-flap) through three small incisions to form an isosceles triangle. The respective fascial-entries are made farther away to achieve satisfactory inter trocar distance. This technique complies with the laparoscopic triangulation principles, likely to further reduce postoperative umbilical pain/morbidity, and achieve good umbilical aesthetics as the scars recede within the umbilicus. As only the routine laparoscopic instruments were utilized, it also has a potential to reduce the surgical cost. Therefore, the authors feel that this technique can be a valuable addition to the existing umbilical laparoscopic methods.
authors.affiliation: Department of General and Minimal Access Surgery, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha- 442102, Maharashtra, India.
authors.forename: Priyadarshan Anand
authors.initials: PA
authors.lastname: Jategaonkar
authors.affiliation: Department of Surgery, Jagjivan Ram Western Railway Hospital, Mumbai Central, Mumbai-400008, Maharashtra, India.
authors.forename: Sudeep Pradeep
authors.initials: SP
authors.lastname: Yadav
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D006804:Ergonomics; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D061646:Operative Time; D013525:Surgical Instruments; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*