Needle Port Assisted Two-Port Laparoscopic Appendicectomy

Introduction: In conventional Laparoscopic Appendicectomy, three ports are used wherein both the subumbilical and supra-pubic port sites are hidden the by the natural camouflages and the only visible scar is the third port in the iliac fossa. The third port scar can be made invisible by using a needle port for trans-parietal appendicular traction. Materials and Methods: From January 2013 to May 2014 we attempted 35 cases of Needle port assisted Two port Laparoscopic Appendicectomy of which 7 were converted to conventional three port technnique. After introducing 10 mm subumbilical telescopic port and a 5 mm suprapubic working port, an 18G needle fastned with prolene was made into a loop and introduced in right iliac fossa to retract the appendix as the third port, which scarless. Results: Of the 35 included 7 were converted to conventional laparoscopy. Except for wound infection in 3 cases of appendicular abscess, post-operative complications were nil. Mean operative time was 55 minutes. Conclusion: Needle port assisted two port laparoscopic appendicectomy has all the merits of conventional laparoscopy with additional advantage of invisible scars.