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. © Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.