Percutaneous trans-abdominal external looped needle with two holes in the trocar sheath for port-site closures in difficult obese cases.

Autor:	Lasheen, Ahmed E, Salem, Ayman, Abd Elaal, Salah, Elsheweal, Abd Elhafez, Osman, Gamal, Alkilany, Mohammed, Ibrahim, Amr
Předmět:	BARIATRIC surgery LAPAROSCOPIC surgery TREATMENT effectiveness SURGICAL site BODY mass index
Zdroj:	Asian Journal of Endoscopic Surgery; Nov2016, Vol. 9 Issue 4, p295-299, 5p
Abstrakt:	Introduction Port closure is essential after successful laparoscopic surgery to prevent incisional hernia. However, good fascial closure still represents a problem, especially in obese patients and when the port wound is oblique. We report a novel technique for port-site closures in such cases. Methods This study involved 67 obese patients who underwent laparoscopic surgery. We used a novel technique for port-site closure that employed a looped needle passed through two holes in the port sheath. Results The method was used in 67 patients (45 laparoscopic cholecystectomies, 22 laparoscopic hernia repairs), with a mean BMI of 35.7 kg/m2. No intraoperative incidents or port-site hernias were reported during follow-up (mean, 22 months). Conclusion Our procedure is safe, easy, and effective for fascial port site closures, especially in cases of difficult obese patients and oblique port wounds. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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