World Journal of Laparoscopic Surgery

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VOLUME 2 , ISSUE 3 ( September-December, 2009 ) > List of Articles


Different Port Closure Techniques in Laparoscopy Surgery

Majid A Hamood

Citation Information : Hamood MA. Different Port Closure Techniques in Laparoscopy Surgery. World J Lap Surg 2009; 2 (3):29-38.

DOI: 10.5005/jp-journals-10007-1033

Published Online: 01-04-2012

Copyright Statement:  Copyright © 2009; The Author(s).



Any new surgical procedure, face a new technical challenges, although minimally invasive surgery cause evident reduction of the pain to the patient postoperatively, with better cosmesis, but with time, new challenges appears.

One of challenges is port closure techniques, in order to prevent the trocar site hernias and other complications.


The aim of this study to review and list different techniques used for closure of the trocar sites.


A literature search was performed for articles and text books dealing with techniques of closure. The author searched this subject using Medline and the search engine Google, Springerlink and High wire Press. The following search term were used; port site closure techniques. Review, All articles reporting techniques with their references were reviewed with some text books.


In this literature review we described many techniques in addition to classical closure using curved needles, including Grice needle, Maciol-needles, endoclose device.

Carter-Thomason device, Tahoe ligature device, Endo-Judge device, exit puncture closure device, Owsley retractor, spinal cord needles, dual hemostat, Veress needle loop technique, suture carrier, Riverdin and Deschamps needles, and Gore-Tex closure device. Semm's emergency needle with adistal eyelet; the modified Veress needle with a slit made in the retractable brunt tip; dental awl with aneye; prolene 2/0 on a straight needle aided by a Veress needle; a straight needle armed with suture; Auto stitch (United States Surgical), a modified Veress needle bearing a crochet hook at the tip. Foley catheter threaded through the port hole forthe elevation of fascial edge upon traction; fish-hook needle improvised out of a hypodermic needle by bending it 180°; Grooved director; U-shaped purse-string suture placed in the fascia around the port hole.


Although there are different techniques used to close the trocar site, all of them are effective in closing the defect in the fascial layers of the abdominal wall, two main groups of techniques were found.

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  1. Prespectives in electronic endoscopy, past present and future of fibres and CC ds in medical endoscopy 1990;22(suppl)2-8.
  2. Technology today July-sept 2003;10:3.
  3. A simple and inexpensive technique for closing trocar sites and grasping sutures. J Laparoendosc Adv Surg Techni 1999;9:81-85.
  4. A reliable and efficient technique for laparoscopic needle positioning. Surg Endosc 1999;13:1053-54.
  5. Laparoscopic hernioplasty: Significant complications. Surg Endosc 1999;13:321-22.
  6. Complication of trocar wounds. In: Meinero M, Melotti G, Mouret Ph (Eds). Laparoscopic surgery. Masson SP A, Milano, Italy 1994;38-44.
  7. Comparative clinical study of port-closure techniques following laparoscopic surgery. J Am Coll Surg 1996;183:335-44.
  8. Small bowel obstruction secondary to herniation through a 5 mm laparoscopic trocar site following laparoscopic lymphadenectomy. Eur J Gynaecol Oncol 1999;20:275-76.
  9. Simple technique for rectus sheath closure after laparoscopic surgery using straight needles, with review of the literature. J Laparoendosc Adv Surg Tech A 1999;9:205-09.
  10. Port-site closure: A new problem, an old device. JSLS 2002;6(2):181-83.
  11. Trocar-site hernias: A rare but potentially dangerous complication of laparoscopic surgery. Chirurg 2002;73:899-904.
  12. Incisional hernias after major laparoscopic gynecologic procedures. Am J Obstet Gynecol 1993;168:1493-95.
  13. Incisional hernias after laparoscopic interventions. Chirurg 1995;66:419-23.
  14. Incisional hernia following laparoscopy: A survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994;84:881-84.
  15. Incisional hernias after operative laparoscopy. J Laparoendosc Adv Surg Tech A 1997;7:111-15.
  16. New closure technique for lateral operative laparoscopic trocar sites: A report of 80 closures. Surg Endosc 1995;9:838-40.
  17. Trocar site hernia. Arch Surg 2004;139:1248-56.
  18. Trocar-site herniation following laparoscopic cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am Surg 1995;61:718-20.
  19. Preperitoneal Richter hernia after a laparoscopic gastric bypass. Surg Laparosc Endosc Percutan Tech 2001;11:47-49.
  20. An improved, inexpensive, quick, and easily learned technique for closure of all large abdominal trocar wounds after laparoscopic procedures. J Am Coll Surg 2002;194:391-93.
  21. A full review of port-closure techniques Surg Endosc 2007;21:1895-97.
  22. Fascial closure of laparoscopic port sites: A new technique. Urology 1995;45:1046-48.
  23. Shaher Z (2007) Port closure techniques. Surg Endosc DOI:10.1007/s00464-006-9095-6, February 8, 2007.
  24. Comparative clinical study of port-closure techniques following laparoscopic surgery. J Am Coll Surg 1996;183:335-44.
  25. Trocar-site closure: A new and easy technique. J Laparoendosc Adv Surg Tech A 1999;9:499-502.
  26. A simple and safe technique for closure of trocar wounds using a new instrument. Surg Laparosc Endosc 1996;6:392-93.
  27. A new dual-hemostat technique to facilitate the closure of small laparoscopic trocar incisions. Surg Endosc 2002;17:164-65.
  28. Prevention of trocar site hernias Surgical Innovation 2008;15(2):100-04.
  29. Mishra RK Dr (2nd edn) Jaypee publication.
  30. Richter_s hernia in the laparoscopic era: Four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech 2003;13:55-58.
  31. Incarcerated hernia following laparoscopy. Acta Obstet Gynecol Scand 1987;66:735-36.
  32. Laparoscopic surgery complications associated with trocar tip design: Review of literature and own results. J Laparoendosc Adv Surg Tech A 1999;9:135-40.
  33. Laparoscopic port sites do notrequire fascial closure when nonbladed trocars are used. Am Surg 2000;66:853-54.
  34. Comment. J Laparoendosc Adv Surg Tech A 2000;10:227-28.
  35. Further modification of the dual hemostat port closure technique. Surg Endosc 2005;19:1002.
  36. Hung-Review of techniques for port closure Surgical practice August 2007;11(3):115-20.
  37. A prospective randomized trial of closing laparoscopic wounds by transcutaneous vs subcuticular suture or adhesive papertape. Surg Endosc 2005;19:148-51.
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