MODIFIED ONE- FINGER LAPAROSCOPY TECHNIQUE

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.