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Port-Site Closure Using a Modified Aptos Needle
Faculty
Medicine
Year:
2013
Type of Publication:
Article
Pages:
312-315
Authors:
Lasheen, Ahmed, Safwat, Khaled, Fiad, Alaa, Elmoregy, Abdelwahab, Hamed, Abdel Wahab
DOI:
10.4293/108680813X13693422522277
Journal:
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS SOC LAPAROENDOSCOPIC SURGEONS
Volume:
17
Research Area:
Surgery
ISSN
ISI:000323045800021
Keywords :
Double-tip needle, Port-site closure
Abstract:
Background and Objectives: Trocar-site incisional hernias are the most common complications in laparoscopic surgery. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. Methods: We describe a simple easy technique for fascial closure of port sites using a double-tip needle (Lasheen needle). This study included 100 patients who underwent laparoscopic surgery from January 2009 through August 2011 in the General Surgery Department, Zagazig University Hospital, Zagazig, Egypt. The mean follow-up period was 2 years for any wound complications at these trocar sites. Results: The mean age of the patients was 39.5 years, and the mean time for placement of one suture was 2 minutes. No trocar-site herniation occurred with our technique during the period of follow-up. Infection developed at the trocar site in 3 patients. Conclusion: This technique is easy, simple, safe, fast, inexpensive, and effective for fascial closure of trocar sites.
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