Short Communication A Simple and Secure Method to Fix Laparoscopic Trocars in Children

We introduce a simple method of fixing trocars to the abdominal wall in children. Before anchoring the trocar, a piece of TegadermTM polyurethrane adhesive (3M Healthcare, St. Paul, Minnesota) is attached to the trocar. A silk stitch is anchored to neighboring skin, and then transfixed over the shaft of the trocar through the adhesive. Both inward and outward movement of the trocar can be restrained. This method is simple, fast, secure, and can be applied to trocars of any size. 1Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China. 2Division of Paediatric Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China. Presented at the 14th Annual Congress for Endosurgery in Children, Venice, Italy, June 2005. FIXING TROCARS IN CHILDREN 189 though it is simple, it is effective in avoiding both the in-ward and outward movement of trocars.Tegarderm is especially suitable for this. It is a thinpolyurethrane film with an acrylic adhesive surface thatsticks to both metal and plastic surfaces, and a non-slip-pery surface allowing suture tying securely and with ease.Tying with suture pierced through the adhesive gives ex-tra strength. The dressing does not leave any glue on theinstrument surface so cleansing is easy.This is an easy and secure method for fixing the lap-aroscopic trocar in children. REFERENCES1. Asao T, Kuwano T, Shimura T, et al. An easy and certainmethod to prevent dislodging of laparoscopic ports. SurgLaparosc Endosc Percutan Tech 2003;13:125–127.2. Bax NM, Can der Zee DC. Trocar fixation during endoscopicsurgery in infants and children. Surg Endosc 1998:12:181–182.3. Horvath KD, Whelan RL, Bessler M, et al. A new methodto prevent port dislodgement during laparoscopic surgery.Surg Endosc 1995;9:526–527. Address reprint requests to:K.F. Yip, MDDepartment of SurgeryPamela Youde Nethersole Eastern Hospital3 Lok Man Road, Chai WanHong Kong, SARChina E-mail: [email protected]. 1.FIG. 2. Metallic trocars anchored during a laparsocopicnephrectomy in a 9-month-old girl.