Zheng’s anchor suturing technique for safe and cosmetic umbilical incision in transumbilical laparoendoscopic single-site surgeries

Abstract

Transumbilical laparoendoscopic single-site surgery (TU-LESS) is a new and evolving surgical method suitable for gynecological diseases, because of its minimal invasion and good cosmetic results. However, since the incision required for this procedure is longer than that for traditional laparoscopy, it may be associated with a higher incidence of postoperative incision complications, such as umbilical hernia, infection, hematoma, and poor wound healing. Moreover, the patient may be left with a misshapen umbilicus because intensive surgery is performed through a single umbilical incision. To minimize the incisional complications and meet patients’ cosmetic expectations, we designed a novel suturing technique, named “Zheng’s anchor suture technique”. This video demonstrates the specific steps and shows photographs of patients’ umbilici that were sutured by this technique, taken after recovery from various operations.

Transumbilical laparoendoscopic single-site radical trachelectomy with uterine arteries’ ascending branches preservation for early-stage cervical cancer

“…The umbilical incision was closed by Zheng's anchor suturing technique to prevent incisional complications and improve cosmetics. 3 No disease recurrence or surgical complications were detected in the 6 months of follow-up. Minimally invasive surgery is safe and effective for fertilitysparing without compromising oncologic outcomes, especially in patients with a tumor size <2 cm.…”

“…Pathology examination of surgical margin, lymph node specimens, and lymphovascular invasion were negative. The umbilical incision was closed by Zheng’s anchor suturing technique to prevent incisional complications and improve cosmetics 3. No disease recurrence or surgical complications were detected in the 6 months of follow-up.…”

Single‐port robotic surgery using the EDGE SP1000 surgical system in gynaecology: Initial experience of a single institution

“…Other resected specimens without removal of the uterus were put into specimen bags and taken out from the umbilical incision after undocking of the robotic arm. When the surgery was completed, the umbilical incision was closed by Zheng's anchor suturing technique and covered with a drainage gauze and a sterile dressing 20 . After surgery, a gel skin adhesive agent was applied to lessen the scarring.…”

“…When the surgery was completed, the umbilical incision was closed by Zheng's anchor suturing technique and covered with a drainage gauze and a sterile dressing. 20 After surgery, a gel skin adhesive agent was applied to lessen the scarring.…”

Efficacy of transumbilical laparoendoscopic single-site surgery versus multi-port laparoscopic surgery for endometrial cancer: a retrospective comparison study

“…Those with difficulty in intraoperative exposure were exposed to “Zheng’s 4C Suspension” to expose the pelvic and the para-aortic lymph nodes ( 17 ) and to avoid bladder injury. Finally, the vaginal cuff was closed by absorbable barbed suture, a T-shaped drainage tube through the vagina could be retained based on the intraoperative situation, and the umbilical incision was closed layer by layer using “Zheng’s anchor suturing technique” ( 17 , 18 ).…”