A simple technique for trocar site closure after laparoscopic surgery

Hernias have been reported to occur at trocar sites and small anterior wall defect has been casually identified during laparoscopic surgery. The aim of this article is to describe a simple, fast, and cheap technique for the safe closure of trocar sites in laparoscopic surgery. Closure is accomplishe...

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Published inSurgical endoscopy Vol. 13; no. 12; pp. 1249 - 1251
Main Authors PETRAKIS, I, SCIACCA, V, CHALKIADAKIS, G, VASSILAKIS, S. I, XYNOS, E
Format Journal Article
LanguageEnglish
Published New York, NY Springer 01.12.1999
Subjects
Abdominal Muscles
Biological and medical sciences
Hernia, Umbilical - surgery
Humans
Laparoscopy - methods
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Technology. Biomaterials. Equipments
Human
Site
Closure
Indication
Clinical form
Laparoscopic surgery
Hernia
Abdominal disease
Surgery
Instrument
Digestive diseases
Surgical approach
Trochar
Endoscopy
Technique
Repair
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Summary:Hernias have been reported to occur at trocar sites and small anterior wall defect has been casually identified during laparoscopic surgery. The aim of this article is to describe a simple, fast, and cheap technique for the safe closure of trocar sites in laparoscopic surgery. Closure is accomplished with a #0# absorbable suture, which is applied in a pursestring manner using 15 gauge spinal cord needle. This procedure is also suitable for the laparoscopic repair of uncomplicated small hernias or fascial defects of the anterior abdominal wall; a mesh prosthesis in case the defect is > cm(2). This technique allows a secure closure of umbilical or fascial defects of the anterior abdominal wall. It is a useful method for large trocar sites closure and is recommended for small uncomplicated hernias or fascial defects of the anterior abdominal wall. In case of > cm(2) defects the technique could be an optimal laparoscopic alternative for patch tension free repair.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0930-2794
1432-2218
DOI:10.1007/PL00011164