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The Scarless Umbilical Port Insertion (SUPI) Technique for Laparoscopic Surgery in Children - Abstract

Caroline Mary Smith, Thomas Tsang

 

Abstract

Background: Despite widespread adoption of laparoscopic surgery in children, there is no evidence as to the optimum camera port insertion technique. In this study, we aim to analyse outcomes following a transumbilical technique of camera port insertion in children which is scarless, and compare these to port site complication rates as described in the literature.

Materials and methods: This is a retrospective analysis of a single surgeon series. Patients were identified from a prospective surgical log over a 4 year period. Primary outcomes were surgical site infection requiring intervention and incisional hernia. Data analysis was through descriptive techniques.

Results: Two-hundred and ninety two children were included. In 3 the scarless umbilical port insertion (SUPI) technique was not possible. There were no intraoperative complications. The series showed 0.4% wound infection rate requiring drainage and 2 incisional hernias that resolved spontaneously.

Conclusion: This is the largest series to assess outcomes of a specific camera port technique. We would recommend the SUPI technique in all children undergoing minimal access surgery. This study shows that outcomes are favourable to published camera port insertion complication rates, with advantages in cosmesis.

Keywords: minimal access surgery, children, camera port

 

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