Prevention of umbilical skin necrosis and umbilical wound infection while doing open laparoscopy

Objective: To describe the technique of open laparoscopy to prevent umbilical skin necrosis or umbilical wound infection. Methods: From 12th June 2015 to 12th October 2015, skin of the umbilicus and skin around the umbilicus is held with traumatic instruments like Allis forceps for open laparoscopy while doing laparoscopic operations like laparoscopic appendectomy. But due to the umbilical skin necrosis encountered in the previous technique, from 13th October 2015, skin of the umbilicus and skin around the umbilicus is never held with traumatic instruments like Allis forceps for open laparoscopy while doing laparoscopic operations. Results: From 12th June 2015 to 12th October 2015, while skin of the umbilicusand skin around the umbilicus is held with traumatic instruments like Allis forceps for open laparoscopy, we frequently encountered umbilical skin necrosis and umbilical wound infection. But from 13th October 2015 to 18th December 2019, while skin of the umbilicus and skin around the umbilicus is not held with traumatic instruments like Allis forceps for open laparoscopy while doing laparoscopic operations, no patient had umbilical skin necrosis or umbilical wound infection. Conclusion: Hence the new technique of not holding skin of the umbilicus and skin around the umbilicus with traumatic instruments like Allis forceps for open laparoscopy while doing laparoscopic operations is extremely useful since it avoids the complications of umbilical skin necrosis and umbilical wound infection.