Percutaneous trans‐abdominal external looped needle with two holes in the trocar sheath for port‐site closures in difficult obese cases. Issue 4 (25th July 2016)

• Record Type: Journal Article
• Authors: Lasheen, Ahmed E; Salem, Ayman; Abd Elaal, Salah; Elsheweal, Abd Elhafez; Osman, Gamal; Alkilany, Mohammed; Ibrahim, Amr
• Is Part Of: Asian journal of endoscopic surgery. Volume 9:Issue 4(2016:Nov.)
• Page Start: 295
• Page End: 299
• Publication Date: 2016-07-25
• Subjects: Holes in trocar sheath -- looped needle -- port‐site closure; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12302
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Introduction: Port closure is essential after successful laparoscopic surgery to prevent incisional hernia. However, good fascial closure still represents a problem, especially in obese patients and when the port wound is oblique. We report a novel technique for port‐site closures in such cases. Methods: This study involved 67 obese patients who underwent laparoscopic surgery. We used a novel technique for port‐site closure that employed a looped needle passed through two holes in the port sheath. Results: The method was used in 67 patients (45 laparoscopic cholecystectomies, 22 laparoscopic hernia repairs), with a mean BMI of 35.7 kg/m 2 . No intraoperative incidents or port‐site hernias were reported during follow‐up (mean, 22 months). Conclusion: Our procedure is safe, easy, and effective for fascial port site closures, especially in cases of difficult obese patients and oblique port wounds.