About Careers Internship MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Single Incision Bellybutton Surgery Means Quicker Recovery After Organ Donation

by Gopalan on July 18, 2008 at 1:10 PM
 Single Incision Bellybutton Surgery Means Quicker Recovery After Organ Donation

Bellybutton surgery means quicker recovery after organ donation, say Cleveland researchers. It reduces recovery time and leave almost no scarring.

"The actual incision point on me is so tiny, I'm not getting any pain from it," said Kaster, 29. "I can't even see it."

Advertisement

Kaster was the 10th donor at the Cleveland research hospital to undergo the procedure.

The new procedure could make living kidney donations more palatable by sharply reducing recovery time, Dr. Inderbir Gill and colleagues at the Cleveland Research Hospital.
Advertisement

The technique takes advantage of the bellybutton to avoid a visible scar. Gill said the procedure was approved by the clinic's internal review board as an extension of its laparoscopic surgical work. He has begun training other surgeons in the procedure. It is not used to transplant the kidney into the receiving patient.

The procedure involves making a two-centimetre incision in the interior of the bellybutton and inserting a tube-like port with several round entry points for inserting a camera and other tools into the abdomen.

The belly is inflated with carbon dioxide to provide manoeuvring room. The kidney is then freed from connecting tissue, wrapped in a plastic bag and removed through the navel when the blood supply is cut, shrinking the organ's fist-like size. The incision is expanded to about four centimetres to extract the kidney after the port is removed.

The procedure would not be appropriate for those who have had multiple major abdominal surgeries or who are obese, Gill said. Both conditions would limit the ability to look around the abdomen and move about instruments.

The first 10 recipients and donors whose transplants used the single-incision navel procedure have done well, say the researchers, who report on the first four patients in the August issue of the Journal of Urology.

Preliminary data from the first nine donors who had the procedure show they recovered in less than a month, while donors who underwent the standard laparoscopic procedure with four to six "keyhole" incisions took more than three months to heal.

The clinic says the return-to-work time for single-point donors is about 17 days, versus 51 days for traditional multi-incision laparoscopic surgery.

"For me, that's huge, so I can get back to work," said Kaster, a self-employed optometrist, news agency AP reports.

Patients who had the new procedure were on pain pills less than four days on average, compared with 26 days for laparoscopy patients. "This represents an advance for the field of surgery in general," said Gill, who predicts the bellybutton entry will be used increasingly for major abdominal surgery in a "nearly scar-free" way.

"Will this decrease the disincentive to [kidney] donation? I think the answer is yes," Gill said.

Drs. Paul Curcillo and Stephanie King of Drexel University College of Medicine in Philadelphia developed a single-incision technique and Curcillo was the first to use the method to remove a woman's gallbladder through her bellybutton in May 2007. They've since used it for a number of different kinds of surgery.

Curcillo said the bellybutton procedure "will definitely make things better" for the donor.

"A donor is one of the most altruistic people you'll ever meet ó he's giving his kidney up," he said. "So anything you can do to make it better for that patient, they deserve it."

In August last year it was reported that surgeons specializing in laparoscopic procedures at UT Southwestern Medical Center, Texas successfully removed a patient's kidney by performing a unique nephrectomy entirely through the belly button.

Dr. Jeffrey Cadeddu, associate professor of urology and radiology, performed the "single keyhole access" surgery, the first of its kind involving a kidney.

"Laparoscopic surgery already gives patients smaller incisions, less pain and a faster recovery. This transumbilical technique is a further extension of laparoscopic surgery, which essentially removes scarring from the patient's skin."

Dr. Cadeddu performed the surgery with a newly developed set of high-dexterity instrumentation known as RealHand, manufactured by Novare Surgical Systems. The instruments enable surgeons to perform more difficult maneuvers that otherwise could not be completed. The high-dexterity instruments make it easy to manipulate and complete tasks regardless of whether the appliance is positioned over, under or around internal organs.

Dr. Cadeddu said he believes the success of this new laparoscopic procedure and others like it are imperative as more physicians explore their options concerning natural orifice surgery.

Source: Medindia
GPL/M
Font : A-A+

Advertisement

Advertisement
Advertisement

Recommended Readings

Latest Organ Donation News

Second-Ever Pig Heart Transplant Rescues Ailing Patient in the U.S.
In a historic surgical achievement, U.S. medical professionals successfully transplanted a pig's heart into an end-stage cardiovascular disease patient.
Emotional Side of Neonatal Organ Donation
Groundbreaking study advocates neonatal kidney transplantation as the answer to the organ shortage crisis, shedding light on the challenges faced by families.
2 US Lung Transplant Patients Afflicted by Deadly Bacterial Infection
Two people in the US, who underwent lung transplantation, have been infected with a deadly bacteria, according to the Centers for Disease Control and Prevention.
10,000 to Pledge Organ Donation on September 16
As per the Ministry, Health Minister Mansukh Mandaviya will initiate the organ donation pledge at Agra's GIC Ground, UP.
MOHAN Foundation's Golf Tournament Champions Organ Donation Awareness
MOHAN Foundation's Golf Tournament Ignites Organ Donation Awareness
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
MediBotMediBot
Greetings! How can I assist you?MediBot
×

Single Incision Bellybutton Surgery Means Quicker Recovery After Organ Donation Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests