Jain point: A new safe portal for laparoscopic entry in previous surgery cases.
BACKGROUND
The present study was performed to assess the safety and feasibility of a new laparoscopic entry site in cases suspected of adhesions due to previous surgery.


METHODS
It is a retrospective study undertaken at a tertiary care referral center for advanced gynecological laparoscopic surgery from January 2011 to December 2014.


RESULTS
In 624 patients with a history of previous abdominal surgeries, the laparoscopic entry site was through a newly devised point. It is a point in the left paraumbilical region at the level of umbilicus, in a straight line drawn vertically upward from a point 2.5 cm medial to anterior superior iliac spine. Intra-abdominal adhesions were found in 487 (78.0%) patients, and umbilical adhesions in 404 (64.7%) patients with past abdominal surgeries.


CONCLUSIONS
There were no significant entry-related, intra-operative, or postoperative complications with the use of this entry point. It is also suitable as a main working port during the course of surgery.
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Nutan
N
Jain
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Sweta
S
Sareen
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Swati
S
Kanawa
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Vandana
V
Jain
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Sunil
S
Gupta
Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India.
Sonika
S
Mann
Laparoscopy; palmer's point; periumbilical adhesions; primary port