Trocar site closure with a novel anchor-based (neoClose®) system versus standard suture closure: a prospective randomized controlled trial

Autor: Melissa M. Felinski, Mustafa H. Alibhai, Sheilendra S. Mehta, Peter A. Walker, Brad Snyder, Erik B. Wilson, Todd D Wilson, Pouya Iranmanesh, Kulvinder S. Bajwa, Shinil K. Shah, Connie L Klein, Angielyn R Rivera, Kavita D. Chandwani
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Surgical Endoscopy, Vol. 34, No 3 (2020) pp. 1270-1276
ISSN: 0930-2794
Popis: Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard suture passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard suture passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p
Databáze: OpenAIRE
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