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Title: Single-site multi-port laparoscopic endo-surgery: the SIMPLE technique--a useful method of purely umbilical porting that ensures triangular laparoscopic ergonomics. Author: Jategaonkar PA, Yadav SP. Journal: J Coll Physicians Surg Pak; 2014 Mar; 24(3):203-5. PubMed ID: 24613119. Abstract: Umbilical single-port surgery is a recent development that produces better cosmesis and lesser pain. However, the steep learning curve and the higher surgical expense have led to its rather sceptical acceptance. In this regard, a technique is hereby described in which three ports are directly inserted on the umbilical mound (without raising the umbilical-flap) through three small incisions to form an isosceles triangle. The respective fascial-entries are made farther away to achieve satisfactory inter trocar distance. This technique complies with the laparoscopic triangulation principles, likely to further reduce postoperative umbilical pain/morbidity, and achieve good umbilical aesthetics as the scars recede within the umbilicus. As only the routine laparoscopic instruments were utilized, it also has a potential to reduce the surgical cost. Therefore, the authors feel that this technique can be a valuable addition to the existing umbilical laparoscopic methods.[Abstract] [Full Text] [Related] [New Search]