A Safe, Effective, and Alternative Technique for Fascial Port Site Closure

Ali Akdemir, MD, Sevtap Seyfettinoglu, MD, Levent Akman, MD, Fatih Sendag, MD, Mehmet Kemal Oztekin, MD

Department of Obstetrics and Gynecology, Ege University School of Medicine, Izmir, Turkey (all authors).

ABSTRACT

Background and Objectives: Fascial closure of the 10-mm and 12-mm port sites is mostly recommended to avoid port site incisional herniation. However, it is often difficult and time-consuming. The aim of this study is to describe a novel technique for fascial closure of laparoscopic port sites.

Methods: The fascial closure was performed using straight needle and standard surgical instruments under the laparoscopic visualization in 100 patients. The time duration of the closure, intraoperative and postoperative complications, and patient characteristics were recorded. All patients were examined at postoperative third and sixth months.

Results: Intraoperative or postoperative complications were not observed. The mean time for fascial closure was 90 seconds. No port site hernia was encountered at the third month and sixth month postoperative examinations.

Discussion: The present technique is safe, effective, easy, and does not require any special instruments. Our technique should be kept in mind during fascial closure of the laparoscopic port sites.

Key Words: Fascial closure, Laparoscopy, Port site herniation.

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