An Innovative Low Cost Technique of Hand Port Creation for Hand Assisted Laparoscopic Surgery (HALS)- the AIIMS Technique.

Abstract

BackgroudHand-assisted laparoscopic surgery (HALS) is a technique that integrates the use of the surgeon's hand through a hand port device. This approach combines the benefits of open surgery, such as tactile feedback, with the minimally invasive advantages of laparoscopic surgery.PurposeDespite its benefits, the average cost of a gel hand port device is around 60,000 INR, which limits its use in resource-constrained settings such as India. To address this issue, we have developed an innovative low-cost technique ("AIIMS technique"), utilizing a number 8 size surgical glove to create a functional hand port.Study DesignA low cost innovative hand port was made using number 8 size glove sutured to the anterior rectus sheath.ConclusionThis method provides a more affordable alternative, making HALS accessible in regions with limited financial resources.