World Journal of Laparoscopic Surgery

Register      Login

VOLUME 9 , ISSUE 3 ( September-December, 2016 ) > List of Articles

REVIEW ARTICLE

Various Port-site Closure Techniques in Laparoscopic Surgeries

MK Medha

Citation Information : Medha M. Various Port-site Closure Techniques in Laparoscopic Surgeries. World J Lap Surg 2016; 9 (3):138-141.

DOI: 10.5005/jp-journals-10033-1291

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Minimally invasive surgeries are the advantageous and cosmetically better surgical procedures nowadays. But laparoscopic trocars do create wounds. It is necessary to close these wounds with a good technique in order to decrease the complications related to port-site complications, especially hernia.

Aim

This study is to review and list different techniques used for closure of port-site wounds.

Materials and methods

A literature search was performed for the articles related with techniques of closure of trocar sites. For this purpose, the search engines used were Google, HighWire Press, and SpringerLink. Only those techniques that include the usage of suture materials, suture carriers, and various needles were reviewed in this study. Special devices made for port-closure are not reviewed here.

Results

The study describes many techniques, including classical closure using curved needles, such as the Grice needle, Maciol needles, spinal needles, dual hemostat, suture carrier, modified Veress needle with a slit made in retractable brunt tip, dental awl with an eye, prolene 2/0 on straight needle aided by Veress needle, straight needle armed with suture, modified Veress needle bearing a crochet hook at tip; Foley catheter threaded through port-hole for elevation of fascial edge upon traction; fish-hook needle improvised out of a hypodermic needle by bending it to 180°; U-shaped purse-string suture placed in the fascia around port-hole.

Conclusion

There are plenty of techniques for closure of trocar-site wounds, all of them are effective in closing the fascial defect of abdominal wall.

How to cite this article

Medha MK. Various Port-site Closure Techniques in Laparoscopic Surgeries. World J Lap Surg 2016;9(3):138-141.


PDF Share
  1. Minimal access surgery the port site complication. Technol Today 2003 Jul-Sep;10(3):226.
  2. A simple and inexpensive technique for closing trocar sites and grasping sutures. J Laparoendosc Adv Surg Tech A 1999 Feb;9(1):81-85.
  3. A reliable and efficient technique for laparoscopic needle positioning. Surg Endosc 1999 Oct;13(10):1053-1054.
  4. Laparoscopic hernioplasty: significant complications. Surg Endosc 1999 Apr;13(4):321-322.
  5. Trocar-site hernias: a rare but potentially dangerous complication of laparoscopic surgery. Chirurg 2002 Sep;73(9):899-904.
  6. Incisional hernias after operative laparoscopy. J Laparoendosc Adv Surg Tech A 1997 Apr;7(2):111-115.
  7. Port-site closure: a new problem, an old device. JSLS 2002 Apr-Jun;6(2):181-183.
  8. Trocar-site herniation following laparoscopic cholecystectomy and the significance of an incidental preexisting umbilical hernia. Am Surg 1995 Aug;61(8):718-720.
  9. Preperitoneal Ritcher hernia after a laparoscopic gastric bypass. Surg Laparosc Endosc Percutan Tech 2001 Feb;11(1):47-49.
  10. An improved, inexpensive, quick and easily learned technique for closure of all large abdominal trocar wounds after laparoscopic procedures. J Am Coll Surg 2002 Mar;194(3):391-393.
  11. Port closure techniques. Surg Endosc 2007 Aug;21(8):1264-1274.
  12. K. Textbook of practical laparoscopic surgery. 2nd ed. Jaypee Publication Brothers Pvt. Ltd., New Delhi, India.
  13. New closure technique for lateral operative laparoscopic trocar sites: a report of 80 closures. Surg Endosc 1995 Jul;9(7):838-840.
  14. Complication of trocar wounds. In: Meinero, M.; Melotti, G.; Mouret, Ph., editors. Laparoscopic surgery. Milano, Italy: Masson SPA; 1994. pp. 38-44.
  15. Fascial closure of laparoscopic port sites: a new technique. Urology 1995 Jun;45(6):1046-1048.
  16. Different port closure techniques in laparoscopy surgery. World J Laparosc Surg 2009 Sep-Dec;2(3):29-38.
  17. Trocar-site closure: a new and easy technique. J Laparoendosc Adv Surg Tech A 1999 Dec;9(6):499-502.
  18. Simple technique for rectus sheath closure after laparoscopic surgery using straight needles, with review of the literature. J Laparoendosc Adv Surg Tech A 1999 Apr;9(2):205-209.
  19. Comparative clinical study of port-closure techniques following laparoscopic surgery. J Am Coll Surg 1996 Oct;183(4):335-344.
  20. A simple and safe technique for closure of trocar wounds using a new instrument. Surg Laparosc Endosc 1996 Oct;6(5):392-393.
  21. A new dual-hemostat technique to facilitate the closure of small laparoscopic trocar incisions. Surg Endosc 2003 Jan;17(1):164-165.
  22. Prevention of trocar site hernias. Surg Innov 2008 Jul;15(2):100-104.
  23. Port closure techniques. Surg Endosc 2007 Aug;21(8):1264-1274. February 8, 2007.
  24. Ritcher's hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparoendosc Percutan Tech 2003 Feb;13(1):55-58.
  25. Review of techniques for port-closure. Surg Pract 2007 Aug;11(3):115-120.
  26. A prospective randomized trial of closing laparoscopic wounds by transcutaneous vs subcuticular suture or adhesive paper tape. Surg Endosc 2005 Jan;19(1):148-151.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.