title: A simple technique for trocar site closure after laparoscopic surgery.
abstract: Hernias have been reported to occur at trocar sites and small anterior wall defect has been casually identified during laparoscopic surgery. The aim of this article is to describe a simple, fast, and cheap technique for the safe closure of trocar sites in laparoscopic surgery. Closure is accomplished with a #0# absorbable suture, which is applied in a pursestring manner using 15 gauge spinal cord needle. This procedure is also suitable for the laparoscopic repair of uncomplicated small hernias or fascial defects of the anterior abdominal wall; a mesh prosthesis in case the defect is > cm(2). This technique allows a secure closure of umbilical or fascial defects of the anterior abdominal wall. It is a useful method for large trocar sites closure and is recommended for small uncomplicated hernias or fascial defects of the anterior abdominal wall. In case of > cm(2) defects the technique could be an optimal laparoscopic alternative for patch tension free repair.
authors.affiliation: First Department of Surgery, University of Rome "La Sapienza," Policlinico Umberto I, Viale del Policlinico, I-00161, Rome, Italy.
authors.forename: I
authors.initials: I
authors.lastname: Petrakis
authors.forename: V
authors.initials: V
authors.lastname: Sciacca
authors.forename: G
authors.initials: G
authors.lastname: Chalkiadakis
authors.forename: S I
authors.initials: SI
authors.lastname: Vassilakis
authors.forename: E
authors.initials: E
authors.lastname: Xynos
mesh_terms: D000009:Abdominal Muscles; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*