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Laparoscopic Traction Device for Assistance of 2-Port Laparoscopic Appendectomy
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Laparoscopic Traction Device for Assistance of 2-Port Laparoscopic Appendectomy
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Journal Article
Laparoscopic Traction Device for Assistance of 2-Port Laparoscopic Appendectomy
2021
Overview
Laparoscopic appendectomy (LA) traditionally uses 3 ports: 2 for the videoscope and 3 for the procedure. 1 More recently a large single port technique groups the 3 ports in a single site that uses a larger incision. 2 As an alternative to the 3-port and single-port methods, we developed a laparoscopic traction device to pull the appendix to facilitate its removal. See PDF] After approval of a study protocol by our hospital ethics committee, we randomly assigned 74 patients to the 2-port technique plus the traction device and 75 patients to the standard 3-port procedure. Analysis of the postoperative pain score revealed that the 2-port LA significantly reduced pain level compared with the 3-port LA (mean score 1.33 vs 3.27), and more than 98% of the individuals in the 2-port group had a score between 0 and 2 and about 93% in the 3-port group had a score between 3 and 5 (Mann-Whitney U = 199.5, P < .0001).
Publisher
SAGE Publications,SAGE PUBLICATIONS, INC
