Effective, simple, easy procedure for laparoscopic port closure in difficult cases. (September 2016)

• Record Type: Journal Article
• Authors: Lasheen, Ahmed E.; Safwat, Khaled; Elsheweal, AbdElhafez; Ibrahim, Amr; Mahmoud, Ramadan; Alkilany, Mohammed; Ismaeil, Ashraf
• Is Part Of: Annals of medicine and surgery. Volume 10(2016)
• Page Start: 36
• Page End: 40
• Publication Date: 2016-09
• Subjects: Laparoscopic port site closure -- External looped needles; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2016.06.014
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Background: Laparoscopic and rebotic surgery is widely practiced in modern medicine. The operative procedure is not complete until the port sites are closed with a fascial closure. Good fascial closure still represents problem, especially in difficult obese patients. This study reported simple technique is suitable in such cases. Material and methods: We herein describe a simple technique for fascial closure after Laparoscopic surgery using percutaneous transabdominal approach by using two looped needles in 87 obese patients. This technique was done while the trocar sheath in its position. Results: The procedure was used in 87 patients (69 females and 18 males) after laparoscopic cholecystectomy with mean body mass index 35.5 kg/m2 and mean age 47.1 years from May 2013 through June 2015. No intra-operative incidents and no port sites hernias were reported during a mean follow up of 18 months. Conclusion: The procedure is easy to perform, safe, and effective for fascial port site closure in difficult obese (thick abdominal wall and oblique port wound) cases. Highlights: The complete fascial closure of port site is essential for good outcome of laparoscopic surgery. Port site herniation is serious complication leading to loss all mini-invasive surgery advantages. Our technique is done under direct visualization and trocar sheath in its position. Our procedure is effective, easy to produce complete fascial closure at any port site type and in any case.