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Novel cost-effective method of laparoscopic feeding-jejunostomy.

Mistry RC, Mehta SS, Karimundackal G, Pramesh CS - J Minim Access Surg (2009)

Bottom Line: The average operating time was 35 min.We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube.No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Tata Memorial Hospital, Mumbai, India.

ABSTRACT
A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes. We describe a simple cost-effective method of feeding jejunostomy using regular laparoscopic instruments and an inexpensive readily available tube. The average operating time was 35 min. We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube. No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.

No MeSH data available.


Related in: MedlinePlus

The operating room set-up
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Figure 0001: The operating room set-up

Mentions: No specific pre-operative preparation of the patient is required for this procedure. The operating room (OR) setup is as shown in the illustration in Figure 1. The patient is placed in the supine position and the port sites are as shown in the illustration in Figure 2. The additional monitor for the assistant is optional. The procedure was conceptualized as an adjunct to surgery for cancer of the oesophagus for which laparoscopic stomach mobilization and stomach tube preparation are done. Hence, the position of the patient, the operating room setup and the port positions are as would be required for laparoscopic mobilization of the stomach. However, we found that the same port positions provided an advantage while doing a laparoscopic feeding jejunostomy.


Novel cost-effective method of laparoscopic feeding-jejunostomy.

Mistry RC, Mehta SS, Karimundackal G, Pramesh CS - J Minim Access Surg (2009)

The operating room set-up
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2734900&req=5

Figure 0001: The operating room set-up
Mentions: No specific pre-operative preparation of the patient is required for this procedure. The operating room (OR) setup is as shown in the illustration in Figure 1. The patient is placed in the supine position and the port sites are as shown in the illustration in Figure 2. The additional monitor for the assistant is optional. The procedure was conceptualized as an adjunct to surgery for cancer of the oesophagus for which laparoscopic stomach mobilization and stomach tube preparation are done. Hence, the position of the patient, the operating room setup and the port positions are as would be required for laparoscopic mobilization of the stomach. However, we found that the same port positions provided an advantage while doing a laparoscopic feeding jejunostomy.

Bottom Line: The average operating time was 35 min.We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube.No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Tata Memorial Hospital, Mumbai, India.

ABSTRACT
A feeding jejunostomy tube placement is required for entral feeding in a variety of clinical scenarios. It offers an advantage over gastrostomies by eliminating the risk of aspiration. Standard described laparoscopic methods require special instrumentation and expensive custom-made tubes. We describe a simple cost-effective method of feeding jejunostomy using regular laparoscopic instruments and an inexpensive readily available tube. The average operating time was 35 min. We had no intra-operative complications and only one post-operative complication in the form of extra-peritoneal leakage of feeds due to a damaged tube. No complications were encountered while pulling out the tubes after an average period of 5-6 weeks.

No MeSH data available.


Related in: MedlinePlus