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A simple technique for trocar site closure after laparoscopic surgery
I Petrakis1, V Sciacca, G Chalkiadakis
1First Department of Surgery, University of Rome "La Sapienza," Policlinico Umberto I, Viale del Policlinico, I-00161, Rome, Italy.
Surgical Endoscopy
|December 14, 1999
Summary
A new laparoscopic technique uses absorbable sutures for secure closure of trocar sites and small abdominal wall defects. This simple, fast, and cost-effective method is ideal for preventing hernias and repairing uncomplicated hernias.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Abdominal Wall Repair
Background:
- Trocar site hernias are a known complication of laparoscopic surgery.
- Small fascial defects can be incidentally found during laparoscopic procedures.
- Secure closure of these sites is essential to prevent complications.
Purpose of the Study:
- To describe a simple, fast, and cost-effective technique for laparoscopic trocar site closure.
- To present a method for repairing small anterior abdominal wall defects laparoscopically.
- To offer an alternative for managing uncomplicated small hernias during laparoscopy.
Main Methods:
- Closure of trocar sites using a #0# absorbable suture in a pursestring manner.
- Application of the technique with a 15-gauge spinal needle.
- Use of mesh prosthesis for defects larger than 2 cm².
Main Results:
- The technique provides secure closure for umbilical and fascial defects.
- It is effective for closing larger trocar sites.
- It is recommended for small, uncomplicated hernias and fascial defects.
Conclusions:
- This pursestring suture technique offers a safe and efficient method for laparoscopic trocar site closure.
- It is a valuable option for the laparoscopic repair of small hernias and fascial defects.
- For defects >2 cm², it serves as an optimal tension-free laparoscopic repair alternative.