A safe and reliable technique for fascial closure without special devices after laparoscopic surgery. Issue 1 (16th July 2020)

• Record Type: Journal Article
• Authors: Takemoto, Yuki; Ikeda, Masahiro; Karakuchi, Nozomi; Shimomura, Manabu; Inoue, Masashi; Ohmori, Ichiro; Miyamoto, Kazuaki; Toyota, Kazuhiro; Sadamoto, Seiji; Takahashi, Tadateru
• Is Part Of: Asian journal of endoscopic surgery. Volume 14:Issue 1(2021)
• Page Start: 149
• Page End: 153
• Publication Date: 2020-07-16
• Subjects: fascial closure -- laparoscopic surgery -- port‐site hernia; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12809
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Introduction: To prevent port‐site hernia, we established a simple and low‐cost closure method that uses a venous catheter needle and suture, without any other special devices. Materials and Surgical Technique: We used the inner needle of a 16‐G venous catheter and a 2‐0 absorbable bladed suture. To evaluate the efficacy of this technique, the procedure time was noted and compared among three operators (an experienced surgeon and two inexperienced surgeons). Discussion: The median suturing time was 60.5 seconds (range, 26‐130 seconds) per incision. Even an unexperienced surgeon can close the fascia safely and quickly after some experience with the procedure.