EVALUATION OF THE FEASIBILITY, EFFICACY, AND SAFETY OF A NOVEL PORT PLACEMENT TECHNIQUE FOR DIAGNOSTIC LAPAROSCOPY IN ABDOMINAL TRAUMA: A PILOT STUDY santhoshganguly@gmail.com

 

EVALUATION OF THE FEASIBILITY, EFFICACY, AND SAFETY OF A NOVEL PORT PLACEMENT TECHNIQUE FOR DIAGNOSTIC LAPAROSCOPY IN ABDOMINAL TRAUMA: A PILOT STUDY

1

India

Oral or Poster

Exploratory laparotomy for abdominal trauma often results in unnecessary non-therapeutic surgeries, leading to increased morbidity. Although diagnostic laparoscopy (DL) is established in trauma care, no standardized port placement technique exists, especially for comprehensive intra-abdominal evaluation.

Ten hemodynamically stable patients with FAST-positive but CT-negative solid organ injury findings underwent DL using this three-port standardized configuration. Accessibility, adequacy of visualization, therapeutic capability, conversion rates, operative time, and complications were analyzed.

Complete intra-abdominal exploration was feasible in all cases (100%) without additional ports. Therapeutic interventions were possible through the same ports in 20% of patients; 40% required conversion to open surgery due to complex injuries, not port limitations. No intraoperative missed injuries occurred. Mean operative time was 2.05 hours, and average hospital stay was 5.4 days. Postoperative complications were minimal, mainly limited to port-site pain (20%) and minor wound infections in converted cases.

The Rishikesh Triangle Technique is a feasible, efficient, and safe standardized method for DL in abdominal trauma. It ensures universal access and consistent panoramic visualization with ergonomic advantages, supporting its wider adoption in trauma laparoscopy to minimize non-therapeutic laparotomies.