A simple technique of laparoscopic port closure

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Abdominal Wall Closure

Background:

• Laparoscopic and robotic surgery are standard in modern medicine.
• Port site closure is a critical final step in these procedures.
• Existing methods can be time-consuming or require specialized equipment.

Purpose of the Study:

• To introduce a novel, simple technique for fascial closure after laparoscopic surgery.
• To improve safety and efficiency in closing abdominal wall port sites.
• To present a cost-effective alternative for port site closure.

Main Methods:

• A prospective consecutive case series evaluated the technique in 100 patients.
• Two S-retractors were used for port sites larger than 8 mm.
• One retractor protected abdominal contents; the second facilitated direct visualization for suture placement.

Main Results:

• The technique was successfully applied in 100 patients without intraoperative incidents.
• No additional operative time or expensive instruments were required.
• Follow-up revealed no bowel injuries or port-site hernias.

Conclusions:

• The S-retractor technique offers a simple, easy, cost-effective, and quick method for port site closure.
• The procedure enhances safety by protecting abdominal contents and improving visualization.
• The technique is readily adopted by surgeons and shows excellent patient outcomes.