Percutaneous trans-abdominal external looped needle with two holes in the trocar sheath for port-site closures in difficult obese cases

Abstract

Introduction

Port closure is essential after successful laparoscopic surgery to prevent incisional hernia. However, good fascial closure still represents a problem, especially in obese patients and when the port wound is oblique. We report a novel technique for port-site closures in such cases.

Methods

This study involved 67 obese patients who underwent laparoscopic surgery. We used a novel technique for port-site closure that employed a looped needle passed through two holes in the port sheath.

Results

The method was used in 67 patients (45 laparoscopic cholecystectomies, 22 laparoscopic hernia repairs), with a mean BMI of 35.7 kg/m². No intraoperative incidents or port-site hernias were reported during follow-up (mean, 22 months).

Conclusion

Our procedure is safe, easy, and effective for fascial port site closures, especially in cases of difficult obese patients and oblique port wounds.

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