Port-Site Closure Using a Modified Aptos Needle
نویسندگان
چکیده
BACKGROUND AND OBJECTIVES Trocar-site incisional hernias are the most common complications in laparoscopic surgery. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. METHODS We describe a simple easy technique for fascial closure of port sites using a double-tip needle (Lasheen needle). This study included 100 patients who underwent laparoscopic surgery from January 2009 through August 2011 in the General Surgery Department, Zagazig University Hospital, Zagazig, Egypt. The mean follow-up period was 2 years for any wound complications at these trocar sites. RESULTS The mean age of the patients was 39.5 years, and the mean time for placement of one suture was 2 minutes. No trocar-site herniation occurred with our technique during the period of follow-up. Infection developed at the trocar site in 3 patients. CONCLUSION This technique is easy, simple, safe, fast, inexpensive, and effective for fascial closure of trocar sites.
منابع مشابه
Laparoscopic Cholecystectomy; closure versus non-closure of the fascial sheath opening of the sub-umbilical port site “10 mm”.
Background: Laparoscopic Surgery (LS) may be associated with many port site complications such as hernia, bleeding, infection, subcutaneous emphysema and ugly scars. Some of these complications are serious such as obstructed port site hernia . Rate of these complications is low depending on size and site of the port incision, type of the trocar that it is used, the condition of the patient a...
متن کاملComparison between hand suture and Carter-Thomason needle closure of port sites in laparoscopy.
PURPOSE To compare between hand closure and Carter-Thomason technique with respect to following parameters, time taken for port site closure, wound infection, wound dehiscence, seroma formation, port site herniation, and ascitic fluid leak. MATERIALS AND METHODS In this study, 200 cases who underwent laparoscopic donor nephrectomy were selected and divided into two groups based on closure te...
متن کاملLong-Term Study of Port-Site Incisional Hernia After Laparoscopic Procedures
BACKGROUND Laparoscopic surgery is widely practiced and offers realistic benefits over conventional surgery. There is considerable variation in results between surgeons, concerning port-site complications. The aim of this study was to evaluate the laparoscopic port closure technique and to explore the factors associated with port-site incisional hernia. METHODS Between January 2000 and Januar...
متن کاملEffective, simple, easy procedure for laparoscopic port closure in difficult cases
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 f...
متن کاملPort-Site Closure: A New Problem, An Old Device
OBJECTIVE Trocar-site incisional hernias and their complications are reported in 1% to 6% of patients. Such hernias are attributed to the difficulty of applying standard suturing techniques to wound closure. We report our experience with a simple device, the Deschamps ligature needle. METHODS The Deschamps needle has a handle and a tip (sharp or blunt), with an opening to pass suture. The blu...
متن کامل