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Anatomical closure of trocar site by using tip hole needle and redirecting suture hook.
Surg Endosc 2010; 24(10):2637-9SE

Abstract

BACKGROUND

The incidence of trocar site incisional hernia following laparoscopic surgery is reported to be relatively high. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The goal of this article is to present a new procedure for anatomical closure of the trocar site to prevent its herniation.

METHODS

In this study, 120 patients underwent laparoscopic cholecystectomy from June 2006 through February 2009 at the General Surgery Department, Zagazig University Hospital, Egypt. After the laparoscopic procedure was complete, the trocar sites were closed in anatomical layers by using a tip hole needle and a redirecting suture hook. The mean follow-up period was 2 years for any complication at these trocar sites.

RESULTS

The mean hospital stay was 1.2 days, the mean age of the patients was 49.4 years, and the mean time to place one suture was 5 min. No trocar site hernia occurred with this technique during a mean follow-up of 2 years. Seven patients developed superficial infection at the trocar site and no mortality was reported.

CONCLUSION

Good closure of the trocar site in layers by using a tip hole needle and a redirecting suture hook will prevent trocar site herniation.

Authors+Show Affiliations

Faculty of Medicine, General Surgery Department, Zagazig University, Zagazig, 44519, Egypt. lasheenahmed@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20339875

Citation

Lasheen, Ahmed E., et al. "Anatomical Closure of Trocar Site By Using Tip Hole Needle and Redirecting Suture Hook." Surgical Endoscopy, vol. 24, no. 10, 2010, pp. 2637-9.
Lasheen AE, Elzeftawy A, Ahmed AH, et al. Anatomical closure of trocar site by using tip hole needle and redirecting suture hook. Surg Endosc. 2010;24(10):2637-9.
Lasheen, A. E., Elzeftawy, A., Ahmed, A. H., & Lotfy, W. E. (2010). Anatomical closure of trocar site by using tip hole needle and redirecting suture hook. Surgical Endoscopy, 24(10), pp. 2637-9. doi:10.1007/s00464-010-1012-3.
Lasheen AE, et al. Anatomical Closure of Trocar Site By Using Tip Hole Needle and Redirecting Suture Hook. Surg Endosc. 2010;24(10):2637-9. PubMed PMID: 20339875.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomical closure of trocar site by using tip hole needle and redirecting suture hook. AU - Lasheen,Ahmed E, AU - Elzeftawy,Awni, AU - Ahmed,Abdel-Hafez M, AU - Lotfy,Wael E, Y1 - 2010/03/26/ PY - 2009/10/21/received PY - 2010/02/22/accepted PY - 2010/3/27/entrez PY - 2010/3/27/pubmed PY - 2011/1/21/medline SP - 2637 EP - 9 JF - Surgical endoscopy JO - Surg Endosc VL - 24 IS - 10 N2 - BACKGROUND: The incidence of trocar site incisional hernia following laparoscopic surgery is reported to be relatively high. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The goal of this article is to present a new procedure for anatomical closure of the trocar site to prevent its herniation. METHODS: In this study, 120 patients underwent laparoscopic cholecystectomy from June 2006 through February 2009 at the General Surgery Department, Zagazig University Hospital, Egypt. After the laparoscopic procedure was complete, the trocar sites were closed in anatomical layers by using a tip hole needle and a redirecting suture hook. The mean follow-up period was 2 years for any complication at these trocar sites. RESULTS: The mean hospital stay was 1.2 days, the mean age of the patients was 49.4 years, and the mean time to place one suture was 5 min. No trocar site hernia occurred with this technique during a mean follow-up of 2 years. Seven patients developed superficial infection at the trocar site and no mortality was reported. CONCLUSION: Good closure of the trocar site in layers by using a tip hole needle and a redirecting suture hook will prevent trocar site herniation. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/20339875/abstract/Anatomical_closure_of_trocar_site_by_using_tip_hole_needle_and_redirecting_suture_hook_ L2 - https://dx.doi.org/10.1007/s00464-010-1012-3 DB - PRIME DP - Unbound Medicine ER -