A retrospective study of a novel non-umbilical laparoscopic entry port in thin patients—Jain point

Abstract

Background: To bring forth a novel non-umbilical entry port in case of thin patient. Methods: This is a retrospective study carried out at Vardhman Trauma and Laparoscopy Centre on thin patients from 2011 to 2019. Out of 7324 patients operated between 1 January 2011 and 31 December 2019 at this hospital, 398 met the criteria for thin patients (BMI < 18.5 kg/m2). Results: A total of 398 patients who underwent laparoscopy surgery through the Jain point were classified as thin (BMI < 18.5 kg/m2) patients. Infertility evaluation hystero-laparoscopy (30.40%), endometriosis (17.08%), and myomectomy (13.32%) followed by genital tuberculosis (11.5%) and ovarian tumors (4.01%) were the most common indications for surgery. None of the thin patients operated had any major vascular or bowel injury. Conclusion: The Jain point can be an alternative non-umbilical primary entry port in thin patients especially when conventional techniques are contraindicated.