5 years results of a novel simple laparoscopic needle retractor – Ney-Lift

Introduction When operating laparoscopically the surgeon often encounters difficulties in exposing the surgical field adequately. Hereby we want to present an innovative technique which facilitates the necessary exposure drastically, without using additional trocars. It is the Ney Lift.

Materials From 01.2011 to 02.2021 we performed laparoscopic sacropexy by using 4 trocars (1 optic + 3 working trocars) till 09.2015 by using 3 trocars (1 optic + 2 working trocars + Ney-Lift) in 866 patients: 699 were performed laparoscopically with a reusable helical tunnelling device, 9 were operated with the DaVinci using standard instruments and 158 were performed laparoscopically using standard instruments. We place the port in a usual manner (10 mm umbilical camera port and two 5 mm lateral trocars). Equipment needed: 10cm hollow needle – 3x0 monofil suture – cotton pieps. Organs can now be easily retracted by slinging.

Results The mean treatment time was 60min (45-75 min) by using NEY-LIFT and only 3 Trocars. Learning curve for usage the NEY-Lift was 2. The average operation time using NEY-Lift was significantly reduced by 15min, although one trocar was used less. Due to the better visibility through the Ney-Lift and the lower number of trocars, the assistant only had to operate the camera.

Conclusions The Ney Lift is a novel and simple way of exposing the operating site appropriately without using further trocars. It is a step towards performing an even more minimally invasive and atraumatic laparoscopic surgery and reduce the treatment-time.

Publikationsverlauf

Artikel online veröffentlicht:
11. Oktober 2022