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Laparoscopic port closure.

Emad Mikhail1, Stuart Hart2

  • 1Division of General Obstetrics and Gynecology Department of Obstetrics and Gynecology University of South Florida Morsani College of Medicine Tampa, Florida.

Surgical Technology International
|April 5, 2014
PubMed
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Post-operative trocar site hernias (TSH) are a surgical complication. Using bladeless trocars and port site closure devices may reduce the incidence of TSH after laparoscopic surgery.

Area of Science:

  • Surgical innovation
  • Minimally invasive surgery
  • Abdominal wall reconstruction

Background:

  • Post-operative trocar site hernia (TSH) is a significant complication following laparoscopic procedures, occurring in 1.5%-1.8% of cases.
  • TSH can lead to serious consequences, including bowel strangulation, often requiring emergent surgical intervention.
  • Several factors contribute to TSH development, prompting the development of preventive surgical devices.

Purpose of the Study:

  • To review the efficacy of specialized surgical devices in preventing post-operative trocar site hernias (TSH).
  • To evaluate the role of bladeless trocars and port site closure devices in mitigating TSH risk.
  • To provide an overview of current technologies aimed at reducing TSH incidence.

Main Methods:

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  • Review of literature on surgical devices used for TSH prevention.
  • Analysis of studies investigating bladeless trocars with radially expanding technology.
  • Examination of the effectiveness of various port site closure devices.

    • Main Results:

    • Bladeless trocars utilizing radially expanding technology have demonstrated a reduced incidence of post-operative TSH.
    • Available port site closure devices are designed to facilitate fascial closure, thereby decreasing TSH risk.
    • The reviewed devices show potential in preventing TSH formation.

    Conclusions:

    • The use of advanced surgical devices, including bladeless trocars and port site closure systems, is a promising strategy for reducing post-operative trocar site hernias.
    • These technologies offer a means to improve patient safety and outcomes in laparoscopic surgery.
    • Further research and adoption of these devices could significantly lower the burden of TSH complications.