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Related Experiment Video

Updated: Jun 8, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Saving time during laparoscopy using a new, wall anchoring trocar device.

Garri Tchartchian1, Joanna Dietzel, Mark W Surrey

  • 1Department of Obstetrics and Gynecology, Pius-Clinic, Oldenburg, Germany.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|October 12, 2010
PubMed
Summary

Wall-anchoring trocar systems significantly improve laparoscopic surgery stability and reduce procedure time. A novel fixator combined with a plain-sleeve trocar demonstrated the greatest time-saving effect and lowest dislodgement frequency.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Access Systems
  • Laparoscopic Technology

Background:

  • Trocar dislodgement and associated complications like wall emphysema can prolong laparoscopic procedures.
  • Stable trocar access is essential for safe and efficient minimally invasive surgery.
  • Wall-anchoring components offer improved device fixation within the abdominal wall.

Purpose of the Study:

  • To compare the efficacy of three different trocar systems in terms of dislodgement frequency and time efficiency.
  • To evaluate a novel wall-anchoring system (fixator) for laparoscopic surgery.
  • To assess the impact of trocar design on surgical procedure duration and stability.

Main Methods:

  • A randomized comparative analysis involving 131 patients undergoing laparoscopic gynecological surgery.

Related Experiment Videos

Last Updated: Jun 8, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

  • Three groups were randomized: (A) spiral-threaded sleeve trocar, (B) plain sleeve trocar, and (C) plain sleeve trocar with a novel fixator.
  • Data collected included intervention time, frequency of trocar corrections, and time lost due to adjustments.

    • Main Results:

    • Group C (fixator + plain sleeve) exhibited the shortest mean intervention time and lowest frequency/time loss from adjustments.
    • Group B (plain sleeve) showed the highest intervention time and greatest time loss due to trocar adjustments.
    • The fixator group demonstrated a statistically significant reduction in adjustments compared to the threaded sleeve group (P<0.05).

    Conclusions:

    • Wall-anchoring components enhance port stability and contribute to a time-sparing effect in laparoscopic procedures.
    • The novel fixator system, when used with a plain-sleeve trocar, offers superior time efficiency and stability compared to threaded sleeves.
    • Implementing advanced trocar systems with wall-anchoring properties is recommended for improving laparoscopic surgery outcomes.