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The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
Published on: August 8, 2025
Port-site closure using a modified aptos needle
Ahmed Lasheen1, Khaled Safwat, Alaa Fiad
1General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 9, 2013
Summary
A novel technique using the Lasheen needle effectively closes trocar sites, preventing incisional hernias after laparoscopic surgery. This simple, fast method offers a safe and inexpensive solution for surgeons, with no hernias observed in a 2-year follow-up.
Area of Science:
- Laparoscopic Surgery
- Surgical Techniques
- Hernia Prevention
Background:
- Trocar-site incisional hernias are a frequent complication of laparoscopic procedures.
- Effective fascial closure of port sites remains a surgical challenge.
Purpose of the Study:
- To introduce and evaluate a simple technique for fascial closure of trocar sites.
- To assess the efficacy of the Lasheen needle in preventing trocar-site hernias.
Main Methods:
- A prospective study involving 100 patients undergoing laparoscopic surgery.
- Utilized a double-tip needle (Lasheen needle) for fascial closure of port sites.
- Mean follow-up period of 2 years to monitor wound complications.
Main Results:
- The technique demonstrated a mean suture placement time of 2 minutes.
- No trocar-site herniation occurred in any patient during the follow-up period.
- A low incidence of trocar-site infection (3 patients) was observed.
Conclusions:
- The Lasheen needle technique is an easy, safe, and fast method for fascial closure.
- This inexpensive approach is effective in preventing trocar-site incisional hernias.
- The technique offers a valuable solution for a common surgical complication.
