Closure of fascial incisions made at the time of laparoscopy: development of a device.
Incisional hernias follow approximately 3% of major laparoscopic procedures when the fascia is not adequately closed. Fascial closure, however, is difficult when skin incisions are small and subcutaneous tissue is thick. We report the development of a self-contained device that sutures the anterior abdominal wall peritoneum and fascia at the completion of laparoscopic surgery without extending the cutaneous incision.
Monk
B J
BJ
Department of Obstetrics and Gynecology, University of California at Irvine, UCI Medical Center, Orange.
Gordon
N S
NS
Johnsrud
J M
JM
Montz
F J
FJ
D000009:Abdominal Muscles / Q000601:surgery; D000818:Animals; D004867:Equipment Design; D020706:Laparoscopes; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013536:Suture Techniques / Q000295:instrumentation*; D013552:Swine