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A simple and reliable procedure for laparoscopic port-site closure
Masahiro Kimura1, Yuki Eguchi2, Yoshiyuki Kuwabara3
1Department of Surgery, Nagoya City East Medical Center, 2-23 Wakamizu 1, Chikusa-ku, Nagoya, 464-8547, Japan. m.kimura@higashi-hosp.jp.
Langenbeck'S Archives of Surgery
|February 18, 2021
Summary
A novel laparoscopic surgery technique effectively closes port sites, reducing complications like hernias, especially in obese patients. This method saves time and minimizes surgeon stress during procedures.
Area of Science:
- Laparoscopic Surgery
- Surgical Complications
- Hernia Prevention
Background:
- Port-site hernia is a rare but serious complication of laparoscopic surgery.
- Secure closure of large port sites (≥10 mm) is crucial but challenging, particularly in obese patients.
Purpose of the Study:
- To introduce and evaluate a new device and technique for laparoscopic port-site closure.
- To address the difficulties in port-site closure for obese patients.
Main Methods:
- A novel closure method using a specialized device was developed.
- Techniques involved thread manipulation and port rotation without port removal.
- The method was applied to 53 port sites in 41 patients.
Main Results:
- Port sites were closed horizontally, vertically, or with a modified Z-suture.
- No complications, including port-site hernias, were observed with the new method.
- The technique proved effective in diverse closure configurations.
Conclusions:
- The new technique offers potential for reduced operative time and surgeon stress, especially in obese patients.
- Further studies with increased patient numbers are warranted to confirm safety and efficacy.
- This method represents a promising advancement in laparoscopic surgical site closure.
