Background: In the modern era of medical science, laproscopic surgeries are well preferred over the open surgeries because of less hospital stay time, better cosmetic results, minimal scaring and less post-operative pain. Umbilicus is the important landmark of abdomen. Camera port is inserted through supraumbilical, infraumbilical or Palmers. But recently transumbilical peritoneal entry is also used. Method: Total 80 patients who underwent laproscopic surgery were included in the study. These patients divided into 2 groups with 40 patients in each group. Group A patients were having transumbilical and group B patients were having infraumbilical first port. The parameters evaluated were ease of entry, time taken to achieve pneumoperitoneum, number of attempts to enter peritoneum, loss of port, subcutaneous emphysema, and gas leak from port site, port site pain, port site infection, port site hernia and Cosmetic outcomes. Results: Laproscopic cholecystectomy was done in 77 (96.25%) cases and appendicectomy was done in 3 (3.75%) cases. The transumbilical first port entry is easy than infraumbilical port entry. The mean time to achieve pneumoperitoneum was 7.01+2.55 and mean time taken to achieve pneumoperitoneum in group A was 5.24±1.25 which was significantly less than group B i.e 8.79±2.26. Intraoperatively, only 1 (2.5%) case of gas leakage in group A and only 1 (2.5%) case of loss of port in group B was observed. There were 2 (5.0%) cases of port site bleeding in group B. 1 (2.5%) case of bile duct injury and 2 (5%) cases of port site infection were observed in each group A and B. Cases of port site pain observed in group A were 2 (5%) and in group B were 4 (10%). Port site hernia was observed in 2 (5%) cases in group A and in 1 (2.5%) case in group B. Conclusion: The technique of transumbilical port insertion in is easy, safe and significantly less time consuming. However, there is no significant difference in terms of intraoperative and post-operative complications between the transumbilical and infraumbilical port insertion. So, transumbilical port insertion can be considered as an alternative to the infraumbilical port insertion in laproscopic surgeries.

Background: In the modern era of medical science, laproscopic surgeries are well preferred over the open surgeries because of less hospital stay time, better cosmetic results, minimal scaring and less post-operative pain. Umbilicus is the important landmark of abdomen. Camera port is inserted through supraumbilical, infraumbilical or Palmers. But recently transumbilical peritoneal entry is also used. Method: Total 80 patients who underwent laproscopic surgery were included in the study. These patients divided into 2 groups with 40 patients in each group. Group A patients were having transumbilical and group B patients were having infraumbilical first port. The parameters evaluated were ease of entry, time taken to achieve pneumoperitoneum, number of attempts to enter peritoneum, loss of port, subcutaneous emphysema, and gas leak from port site, port site pain, port site infection, port site hernia and Cosmetic outcomes. Results: Laproscopic cholecystectomy was done in 77 (96.25%) cases and appendicectomy was done in 3 (3.75%) cases. The transumbilical first port entry is easy than infraumbilical port entry. The mean time to achieve pneumoperitoneum was 7.01+2.55 and mean time taken to achieve pneumoperitoneum in group A was 5.24±1.25 which was significantly less than group B i.e 8.79±2.26. Intraoperatively, only 1 (2.5%) case of gas leakage in group A and only 1 (2.5%) case of loss of port in group B was observed. There were 2 (5.0%) cases of port site bleeding in group B. 1 (2.5%) case of bile duct injury and 2 (5%) cases of port site infection were observed in each group A and B. Cases of port site pain observed in group A were 2 (5%) and in group B were 4 (10%). Port site hernia was observed in 2 (5%) cases in group A and in 1 (2.5%) case in group B. Conclusion: The technique of transumbilical port insertion in is easy, safe and significantly less time consuming. However, there is no significant difference in terms of intraoperative and post-operative complications between the transumbilical and infraumbilical port insertion. So, transumbilical port insertion can be considered as an alternative to the infraumbilical port insertion in laproscopic surgeries.