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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Percutaneous trans-abdominal external looped needle with two holes in the trocar sheath for port-site closures in
Ahmed E Lasheen1, Ayman Salem2, Salah Abd Elaal2
1General and Laparoscopic Surgery Department, Zagazig University Hospital, Zagazig University, Zagazig, Egypt. lasheenahmed@yahoo.com.
Introduction:
Port closure is essential after successful laparoscopic surgery to prevent incisional hernia. However, good fascial closure still represents a problem, especially in obese patients and when the port wound is oblique. We report a novel technique for port-site closures in such cases.
Methods:
This study involved 67 obese patients who underwent laparoscopic surgery. We used a novel technique for port-site closure that employed a looped needle passed through two holes in the port sheath.
Results:
The method was used in 67 patients (45 laparoscopic cholecystectomies, 22 laparoscopic hernia repairs), with a mean BMI of 35.7 kg/m2 . No intraoperative incidents or port-site hernias were reported during follow-up (mean, 22 months).
Conclusion:
Our procedure is safe, easy, and effective for fascial port site closures, especially in cases of difficult obese patients and oblique port wounds.
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