A simple technique for trocar site closure after laparoscopic surgery |
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Authors: | I Petrakis V Sciacca G Chalkiadakis S I Vassilakis E Xynos |
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Institution: | First Department of Surgery, University of Rome "La Sapienza," Policlinico Umberto I, Viale del Policlinico, I-00161, Rome, Italy. |
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Abstract: | Hernias have been reported to occur at trocar sites and small anterior wall defect has been casually identified during laparoscopic surgery. The aim of this article is to describe a simple, fast, and cheap technique for the safe closure of trocar sites in laparoscopic surgery. Closure is accomplished with a #0# absorbable suture, which is applied in a pursestring manner using 15 gauge spinal cord needle. This procedure is also suitable for the laparoscopic repair of uncomplicated small hernias or fascial defects of the anterior abdominal wall; a mesh prosthesis in case the defect is > cm(2). This technique allows a secure closure of umbilical or fascial defects of the anterior abdominal wall. It is a useful method for large trocar sites closure and is recommended for small uncomplicated hernias or fascial defects of the anterior abdominal wall. In case of > cm(2) defects the technique could be an optimal laparoscopic alternative for patch tension free repair. |
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