From the Department of Obstetrics and Gynecology, Mirza kouchek khan (Women's) Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract: (4124 Views)
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 f1"om 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.