Modified one-finger laparoscopy technique

ABSTRACT

We used the modified one finger laparoscopy technique on 100 patients, and found it to be successful in 87% of cases. No major complication occurred during or after such operations. However, we think that this technique is accompanied by three important problems 1] The CO2 gas is lost from the subumbilical incision, 2] A secondary fascial layer is present in some patients, and 3] There is a higher rate of laparoscopic wound complications. At the present time [in the second phase of the study], by cutting superficially the secondary fascial layer, our success rate has risen to 98%. We close the fascia and skin in separate layers and believe that a similar approach can be used for the peritoneum