Mp37-10 Trocar Site Herniation Following Robotic Renal Surgery in an Obese Population: A Comparison of Vicryl Fascia Closure and Surgicel® Plugs

A novel technique: hemostatic agents for port-site closure post robotic-assisted urological surgeries. a pilot study

“…8,9 Furthermore, in a retrospective comparative study which compared Vicryl sutures and Surgicel ® plugs, the authors stated that the Surgicel ® plug technique may offer some advantages over the Vicryl suture in terms of decreasing the overall cost, operative time, and iatrogenic bowel injuries caused by a closure device. 7 The novel technique that this paper proposes to introduce was conducted on 114 patients. The results were fairly similar to others who used different plugging techniques.…”

“…Therefore, there is less risk of visceral injury and injury to abdominal wall vessels. [1][2][3][4][5]7 In contrast to other techniques, the described novel technique may work more easily and effectively in morbidly obese patients because no limited-length devices or curved needles are needed. In comparison to the roll-up and plug technique which is similar to this technique, the novel hemostatic agent plug technique with the use of a 35cm Surgicel ® may offer less risk of Surgicel ® migration as it fills and covers the whole port-site length even in morbidly obese patients; therefore, less tendency of bowel herniation.…”

“…Port-site plugging by a hemostatic agent may help lower the rate of hernia because it closes the port-site completely. 7,8 A comparative study has shown the superiority of a Surgicel ® plug over a Vicryl ® suture in terms of decreasing the overall cost, operative time, and iatrogenic bowel injuries caused by a closure device. 7 Herein, we propose a preliminary results of a novel plugging technique using a hemostatic agent (Surgicel ® ) for port-site closure post robotic-assisted urological procedures with a long follow-up.…”

Surgicel plug technique versus endoclose technique for port-site closure post minimally invasive (robotic and laparoscopic) surgeries

“…10 There are different port-site closure techniques that had used recently hemostatic agents and succeeded to close the ports with low rate of complication. [11][12][13][14] A comparative study showed the superiority of Surgicel plug over closure with Vicryl suture in terms of decreasing the overall cost, operative time, and iatrogenic bowel injuries caused by a closure device. 11 Recently, a novel technique published which used a hemostatic agent (Surgicel) for port-site closure by plugging the ports; it is distinguished by its ease, fast to perform, low cost, effective in obese patients, lowers the tendency of post-operative port-site bleeding, does not need any device or needle, therefore, avoids the risk of injury to abdominal viscera and abdominal wall vessels.…”

“…[11][12][13][14] A comparative study showed the superiority of Surgicel plug over closure with Vicryl suture in terms of decreasing the overall cost, operative time, and iatrogenic bowel injuries caused by a closure device. 11 Recently, a novel technique published which used a hemostatic agent (Surgicel) for port-site closure by plugging the ports; it is distinguished by its ease, fast to perform, low cost, effective in obese patients, lowers the tendency of post-operative port-site bleeding, does not need any device or needle, therefore, avoids the risk of injury to abdominal viscera and abdominal wall vessels. 13 There is a lack in comparative studies with this novel technique, therefore, we compared between the novel Surgicel plug technique with the endoclose technique in terms of developing intraoperative or postoperative complications.…”