S-open Technique: A Novel, Sutureless, Open Laparoscopic Entry Technique

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Laparoscopic Surgery

Background:

• Safe abdominal entry is crucial in laparoscopic surgery, especially for patients with prior abdominal procedures.
• Traditional open entry methods like Hasson may involve fascial suturing and carry risks of complications.
• Evaluating novel techniques for improved safety and efficiency is essential.

Purpose of the Study:

• To assess the safety, feasibility, and outcomes of a newly developed sutureless open laparoscopic entry technique.
• To compare the novel technique against traditional methods in terms of complications and patient outcomes.
• To determine the applicability of the technique across different surgical specialties.

Main Methods:

• A prospective evaluation of 76 patients undergoing laparoscopic surgery with the sutureless open entry technique.
• Patient classification based on body mass index and history of previous abdominal surgeries.
• Assessment of entry feasibility, complication rates (Clavien-Dindo grading), and postoperative outcomes, including trocar-site hernia, over a 4-month to 2-year follow-up.

Main Results:

• Successful abdominal entry was achieved in all 76 patients.
• Complications were infrequent and predominantly Clavien-Dindo grade I.
• No instances of trocar-site hernia were observed during the follow-up period.
• The technique demonstrated effectiveness across urology, gynecology, and visceral surgery.

Conclusions:

• The novel sutureless open laparoscopic entry technique is a safe, simple, and reproducible alternative to conventional open methods.
• This technique is particularly advantageous for patients with a history of abdominal surgery.
• It holds potential for reducing operative time and postoperative complications in laparoscopic procedures.