New closure technique for lateral operative laparoscopic trocar sites. A report of 80 closures.
Publication/Presentation Date
7-1-1995
Abstract
The reported frequency of incisional hernias, after operative gynecological laparoscopy, at extraumbilical trocar sites is one per 32 puncture sites created by a 12-mm trocar. A new closure technique of suturing with the Grice Needle (Ideas for Medicine, Inc., Clearwater, FL) before removing the trocars was utilized to close 80 lateral trocar sites (42 consecutive laparoscopic myomectomies). The trocar sizes in this study were 12 mm and 18 mm. This is the largest reported series of lateral trocar-site closures. No hematomas or bleeding or incisional hernias have resulted from use of this technique. This closure allows the surgeon to completely close both peritoneum and fascia, of the lateral trocar sites, under direct laparoscopic visualization without the loss of pneumoperitoneum or risk of inadvertent injury to the small bowel.
Volume
9
Issue
7
First Page
838
Last Page
840
ISSN
0930-2794
Published In/Presented At
Stringer, N. H., Levy, E. S., Kezmoh, M. P., Walker, J., Abramovitz, S., Sadowski, D. L., & Keflemariam, Y. (1995). New closure technique for lateral operative laparoscopic trocar sites. A report of 80 closures. Surgical endoscopy, 9(7), 838–840. https://doi.org/10.1007/BF00190096
Disciplines
Medicine and Health Sciences
PubMedID
7482199
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article