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Modified abdominal wall suspension system in gasless laparoscopy: A clinical application

Introduction: The gasless laparoscopic technique is easily operable, safe. and avoids complications of pneumoperitoneum. The suspension method from two celiac wall rods evolved to a single wall rod method, reducing one hanging rod on one side of the abdominal wall. This benefited the surgeon which r...

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Main Authors: Li, Yin Feng, Adlan, Aizura Syafinaz, Gao, Li Li, Feng, Mei Ying, Yu, Hai Tin, Ru, Shi, Lin, Bao Liang
Format: Article
Published: S.O.G. CANADA Inc. 2018
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R Medicine
Online Access:http://eprints.um.edu.my/21476/
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spelling my.um.eprints.214762019-06-17T06:12:08Z http://eprints.um.edu.my/21476/ Modified abdominal wall suspension system in gasless laparoscopy: A clinical application Li, Yin Feng Adlan, Aizura Syafinaz Gao, Li Li Feng, Mei Ying Yu, Hai Tin Ru, Shi Lin, Bao Liang R Medicine Introduction: The gasless laparoscopic technique is easily operable, safe. and avoids complications of pneumoperitoneum. The suspension method from two celiac wall rods evolved to a single wall rod method, reducing one hanging rod on one side of the abdominal wall. This benefited the surgeon which reduced the inhibition of one less visible, space-consuming suspension rod, however remains a hindrance to the assistant's optimal movement and visual field. Objective: To explore the feasibility and application value of a modified abdominal wall suspension system in standard gasless laparoscopic myomectomy. Materials and Methods: Women agreeing to participate were randomised into two arms. The standard conventional gasless method versus the modified abdominal wall lifting method. Results: A total of 100 women were randomised into two groups; the improvised technique (group 1) and the conventional technique (group 2). Surgical operating time (72.3 ± 35.6 minutes [improved] and 82.7 ± 31.9 minutes [conventional]) p < 0.01), total blood loss (204.9 ± 167.3 ml [improved] and 266.7 ± 190.5 ml [conventional], p < 0.01)) and average time of a single-myoma-removal (improved vs. conventional) were significantly reduced in the improvised technique group, as opposed to the conventional technique group. No significant difference was found between the two groups with regards to postoperative intestinal function recovery period or the postoperative hospital stay duration. Conclusion: The modified abdominal wall suspension method increases the surgeon's operating space, making it more convenient and practical with significant rewarding postoperative surgical outcomes. S.O.G. CANADA Inc. 2018 Article PeerReviewed Li, Yin Feng and Adlan, Aizura Syafinaz and Gao, Li Li and Feng, Mei Ying and Yu, Hai Tin and Ru, Shi and Lin, Bao Liang (2018) Modified abdominal wall suspension system in gasless laparoscopy: A clinical application. Clinical and Experimental Obstetrics and Gynecology, 45 (2). pp. 262-265. ISSN 0390-6663 http://www.irog.net/archives doi:10.12891/ceog3924.2018
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Li, Yin Feng
Adlan, Aizura Syafinaz
Gao, Li Li
Feng, Mei Ying
Yu, Hai Tin
Ru, Shi
Lin, Bao Liang
Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
description Introduction: The gasless laparoscopic technique is easily operable, safe. and avoids complications of pneumoperitoneum. The suspension method from two celiac wall rods evolved to a single wall rod method, reducing one hanging rod on one side of the abdominal wall. This benefited the surgeon which reduced the inhibition of one less visible, space-consuming suspension rod, however remains a hindrance to the assistant's optimal movement and visual field. Objective: To explore the feasibility and application value of a modified abdominal wall suspension system in standard gasless laparoscopic myomectomy. Materials and Methods: Women agreeing to participate were randomised into two arms. The standard conventional gasless method versus the modified abdominal wall lifting method. Results: A total of 100 women were randomised into two groups; the improvised technique (group 1) and the conventional technique (group 2). Surgical operating time (72.3 ± 35.6 minutes [improved] and 82.7 ± 31.9 minutes [conventional]) p < 0.01), total blood loss (204.9 ± 167.3 ml [improved] and 266.7 ± 190.5 ml [conventional], p < 0.01)) and average time of a single-myoma-removal (improved vs. conventional) were significantly reduced in the improvised technique group, as opposed to the conventional technique group. No significant difference was found between the two groups with regards to postoperative intestinal function recovery period or the postoperative hospital stay duration. Conclusion: The modified abdominal wall suspension method increases the surgeon's operating space, making it more convenient and practical with significant rewarding postoperative surgical outcomes.
format Article
author Li, Yin Feng
Adlan, Aizura Syafinaz
Gao, Li Li
Feng, Mei Ying
Yu, Hai Tin
Ru, Shi
Lin, Bao Liang
author_facet Li, Yin Feng
Adlan, Aizura Syafinaz
Gao, Li Li
Feng, Mei Ying
Yu, Hai Tin
Ru, Shi
Lin, Bao Liang
author_sort Li, Yin Feng
title Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
title_short Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
title_full Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
title_fullStr Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
title_full_unstemmed Modified abdominal wall suspension system in gasless laparoscopy: A clinical application
title_sort modified abdominal wall suspension system in gasless laparoscopy: a clinical application
publisher S.O.G. CANADA Inc.
publishDate 2018
url http://eprints.um.edu.my/21476/
http://www.irog.net/archives
_version_ 1643691574891118592
score 13.211869

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