title: Closure of fascial incisions made at the time of laparoscopy: development of a device.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, University of California at Irvine, UCI Medical Center, Orange.
authors.forename: B J
authors.initials: BJ
authors.lastname: Monk
authors.forename: N S
authors.initials: NS
authors.lastname: Gordon
authors.forename: J M
authors.initials: JM
authors.lastname: Johnsrud
authors.forename: F J
authors.initials: FJ
authors.lastname: Montz
mesh_terms: 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