Effective, simple, easy procedure for laparoscopic port closure in difficult cases

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Abdominal Wall Closure

Background:

• Fascial closure after laparoscopic surgery is crucial but challenging, particularly in obese patients.
• Existing methods may be difficult to implement in patients with thick abdominal walls or oblique port wounds.
• This study addresses the need for a simple and effective fascial closure technique.

Purpose of the Study:

• To describe and evaluate a novel, simple technique for fascial closure after laparoscopic surgery.
• To assess the safety and efficacy of this technique in obese patients.
• To provide a reliable method for port site closure in challenging surgical cases.

Main Methods:

• A percutaneous transabdominal approach using two looped needles was employed for fascial closure.
• The technique was performed with the trocar sheath in position.
• The procedure was applied to 87 obese patients undergoing laparoscopic surgery.

Main Results:

• The technique was successfully used in 87 patients (69 female, 18 male) with a mean BMI of 35.5 kg/m².
• No intra-operative incidents were reported during the procedure.
• No port site hernias were observed during a mean follow-up period of 18 months.

Conclusions:

• The described technique is easy to perform, safe, and effective for fascial port site closure.
• It is particularly suitable for obese patients with difficult abdominal wall characteristics.
• This method offers a reliable solution for fascial closure in challenging laparoscopic cases.