An Innovative Low Cost Technique of Hand Port Creation for Hand Assisted Laparoscopic Surgery (HALS)- the AIIMS Technique

Abstract

Backgroud

Hand-assisted laparoscopic surgery (HALS) is a technique that integrates the use of the surgeon’s hand through a hand port device. This approach combines the benefits of open surgery, such as tactile feedback, with the minimally invasive advantages of laparoscopic surgery.

Purpose

Despite its benefits, the average cost of a gel hand port device is around 60,000 INR, which limits its use in resource-constrained settings such as India. To address this issue, we have developed an innovative low-cost technique (“AIIMS technique”), utilizing a number 8 size surgical glove to create a functional hand port.

Study Design

A low cost innovative hand port was made using number 8 size glove sutured to the anterior rectus sheath.

Conclusion

This method provides a more affordable alternative, making HALS accessible in regions with limited financial resources.