A safe and reliable technique for fascial closure without special devices after laparoscopic surgery
Yuki Takemoto1, Masahiro Ikeda1, Nozomi Karakuchi1
1Department of Surgery, National Hospital Organization Higashihiroshima Medical Center, Higashihiroshima, Japan.
Introduction:
To prevent port-site hernia, we established a simple and low-cost closure method that uses a venous catheter needle and suture, without any other special devices.
Materials And Surgical Technique:
We used the inner needle of a 16-G venous catheter and a 2-0 absorbable bladed suture. To evaluate the efficacy of this technique, the procedure time was noted and compared among three operators (an experienced surgeon and two inexperienced surgeons).
Discussion:
The median suturing time was 60.5 seconds (range, 26-130 seconds) per incision. Even an unexperienced surgeon can close the fascia safely and quickly after some experience with the procedure.
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