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Related Experiment Video

Updated: May 7, 2026

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

Pr Jihad El Anzaoui1,2, Ali Akjay2, Abdellah Baba Habib3

  • 1Urology, Faculty of Medicine, Université Sidi Mohamed Ben Abdellah, Fez, MAR.

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|October 23, 2025
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Summary

A new sutureless open laparoscopic entry technique offers a safe and simple alternative for abdominal access. This method, particularly beneficial for patients with prior surgeries, reduces complications and operative time.

Keywords:
hasson techniqueintra-abdominal surgerylaparoscopymoroccoopen entry technique

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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.