The Chennai port closure method: A novel simple technique for laparoscopic port closure
| Autor: | Nivash Selvaraj, Narasimhan Ragavan, Kunal Dholakia, Srivathsan Ramani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Computer science CHE Chennai port closure PDS polydioxanone Closure (topology) lcsh:Surgery Fascia lcsh:RD1-811 medicine.disease Port (computer networking) Article Surgery Abdominal wall TSH trocar site hernia Hematoma medicine.anatomical_structure Suture (anatomy) medicine Hernia Laparoscopic Port MIS minimally invasive surgery |
| Zdroj: | Surgery Open Science, Vol 4, Iss, Pp 37-40 (2021) Surgery Open Science |
| ISSN: | 2589-8450 |
| Popis: | Purpose Large-size ports used for laparoscopic and robotic procedures will require appropriate closure to reduce the probability of trocar site complications including hematoma and hernia. Closure of these ports is done by various methods like the open method extending skin incisions, S-retractor, Carter Thomason method, and so on. Chennai port closure (CHC) method, a novel technique that had been in practice in our unit for more than 2 years, ensures direct visualization of the suture placement, and hence, the abdominal wall fascia and peritoneum are secured. Materials and Method We herein describe an easy technique for fascial closure in port size (≥ 10 cm) after minimally invasive surgery, including both laparoscopic and robotic procedures, using a cobbler needle in 151 patients in the study period between February 2017 and March 2020 for various urological procedures. This technique was done before the introduction of the trocar sheath and ensures direct visualization of the abdominal fascial closure. Results There were no major intraoperative events, additional operating time, and need for any costly instruments. No bowel injuries or trocar site hernias were documented during a mean follow-up of 28 months. Presently, this technique is used by many surgeons in our hospital without much difficulty. Conclusion The Chennai port site closure technique is an effective, simple, easy-to-apply, and safe procedure. |
| Databáze: | OpenAIRE |
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