M. Bala Vikas Kumar¹, Harika Tirunagari^2,

Introduction: Dealing with patients with multiple laparotomies is always a difficult task due to the fear of injuring the bowel or internal organs. In this study we found out a new technique (Vikas technique) in order to minimise injuries during laparotomy using pneumo peritoneum in open method. This is one of the novel technique, where in we create pneumo peritoneum and proceed with laparotomy in order to prevent inadvertent injury to the internal organs while gaining access into the abdomen in patients with previous multiple laparotomies. Methods and materials: This study includes 15 patients to undergo re-relaparotomy for various reasons attending to surgical oncology department in Yashoda Hospitals Secunderabad, during a period of 9 months. Results: By this technique, there was no case with injury to the bowel or any other abdominal organ. Not even a single patient had complications related to creation of pneumo peritoneum. Conclusions: This is one of the novel technique were in many complications of injury to the abdominal organs can be avoided and a safe entry to the abdomen can be achieved even in a presence of very bad adhesions to the previous scars.

multiple laparotomies, pneumo peritoneum, open method, re-relaparotomy