Direct Trocar Entry from Left Lateral Port (Jain Point) in a Case with Previous Surgeries

Abstract

Background:

Laparoscopic entry is challenging especially in cases with previous surgeries.

Case:

In this study, we report a direct trocar entry from Jain point (left lateral port) in a 50-year-old female patient, who has two cesarean sections with a phannenstiel incision, one laparotomic cholecystectomy with a Kocher incision, and a lumber disk operation.

Results:

There is no adhesion under Jain point (left lateral port) but there is adhesion under the cholecystectomy scar till to the umbilicus. There is no entry-related, intraoperative, or postoperative complications with the use of direct trocar entry.

Conclusions:

So, direct trocar entry from Jain point (left lateral port) in cases with previous surgeries has potential alternative to existing entry techniques.