Fascial closure of laparoscopic port sites: A new technique

Nadler, Robert B.; McDougall, Elspeth M.; Bullock, Arnold; Ludwig, Mark A.; Brunt, L. Michael

doi:10.1016/s0090-4295(99)80129-0

Cited by 12 publications

(9 citation statements)

References 5 publications

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“…These smaller fascial defects could reduce the risk of incisional hernia and dehiscence. Another recent study [35] showed that the 12-mm conical trocar-cannula systems create fascial defects similar to those of 8-mm pyramidal systems, both immediately after insertion and after simulated operative manipulations. The development of nonbladed obturators with integrated stability sleeves allows for creation of a muscle-splitting dilated laparoscopic port site with minimal abdominal wall defects after removal of trocar sleeves [27,28].…”

Section: Discussionmentioning

confidence: 97%

Port closure techniques

Shaher¹

2007

Surg Endosc

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Section: Discussionmentioning

confidence: 97%

Port closure techniques

Shaher¹

2007

Surg Endosc

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“…Several authors championed the novel use of a long spinal needle, 36–38 or a 14‐gauge intravenous catheter as a conduit for the introduction and retrieval of the suture 2,39–43 . Evolving versions of the angiocatheter technique appeared in the literature in 1995 (twice), 1996, 2002, 2003 and 2004.…”

Section: Medline Search Resultsmentioning

confidence: 99%

“…Evolving versions of the angiocatheter technique appeared in the literature in 1995 (twice), 1996, 2002, 2003 and 2004. All pioneering authors in the 1990s left the trocar cannula in situ while passing the sutures through or around it 39,40 . Their methods were criticized as being cumbersome or awkward, as they required passing the sutures repeatedly through or closely alongside the indwelling cannula.…”

Section: Medline Search Resultsmentioning

confidence: 99%

Review of techniques for port closure: 1987–2007

Ng¹,

Luk²

2007

Surgical Practice

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Background: 2007 marks the 20th anniversary of the first successful laparoscopic cholecystectomy. Exactly two decades down the road now, laparoscopic surgery has evolved from a limited innovation to a routine surgical tool used to treat virtually all surgical indications. To commemorate this landmark historical event, we set out to collate all published literature to compile an archive encompassing all the techniques and their variations described for port-site closure -an integral part of essentially every laparoscopic operation. Methods/Results: A Medline search in conjunction with diligent cross-referencing of the index articles retrieved a total of 39 relevant publications. The array of differing techniques of various sophistications and their myriad modifications are systematically categorized into external hand-sutured techniques (15) and laparoscopic-assisted techniques (25). The latter constitutes the main bulk of the work and is further subdivided into methods making use of: (i) specially designed complex devices; (ii) suture carrier; (iii) straight needle; and (iv) needle/angiocatheter as conduit. They are critically appraised in terms of ergonomics, security and cost-effectiveness. Conclusion: Publications dedicated to perfection of the closure technique have proliferated and improvements are continuously being made. Practising surgeons should be cognisant of the full range of techniques while familiarizing themselves with the useful ones deemed simple, safe and effective.

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“…In laparoscopic surgery drain should be placed through the port size less than 5mm. If for any specific reason drain is placed through larger size port single narrowing facial stitch or purse string suture is recommended [11].…”

Section: Discussionmentioning

confidence: 99%