Port wound closure assisted by Foley catheter: an easier way to provide fascia security.
OBJECTIVE
Specific laparoscopy-related complications, such as incisional hernia (trocar hernia) or hemorrhage, are worthy of our special attention. Preventing and managing these complications safely and efficiently are important, suggesting that a definite closure of the 10-12 mm port wound after laparoscopy is needed; for this, a newer, simpler method was used.


METHODS
Ninety-six patients with benign ovarian tumor warranting laparoscopic surgery were enrolled into the study. Forty-eight patients (50%) underwent a Foley catheter-assisted port wound closure (Foley group) and the remaining patients (50%) underwent a conventional port would closure (control group). The outcome was measured by comparing operative time, the amount of suture material used (difficulty of wound closure), therapeutic efficacy (hernia), postoperative complications (bleeding, hematoma, and wound pain by a self-reported six-point verbal numeric rating scale (VNRS-6)) and anesthesia use as measured by an analgesic usage score (AUS), and dissatisfaction with the cosmetic results, in both groups.


RESULTS
The general characteristics of the patients were similar in both groups. There were no statistical differences in mean operative time, therapeutic efficacy, and postoperative complications between the two groups. However, the amount of extra suture material needed was significantly less in the Foley group compared to the control group (1.04 +/- 0.08 vs 1.29 +/- 0.44, P = 0.015, and 4.2 vs 25%, P = 0.02, respectively).


CONCLUSIONS
Wound closure with the assistance of a Foley catheter offers an easy and secure way to close a 10-12 mm port wound.
Su
Wen-Hsiang
WH
Department of Obstetrics and Gynecology, Yee-Zen Hospital, Tao-Yuang, Taiwan.
Cheng
Ming-Huei
MH
Tsou
Tsung-Shan
TS
Cheung
Sai-Ming
SM
Chang
Sheng-Ping
SP
Wang
Peng-Hui
PH
D000328:Adult; D002404:Catheterization / Q000379:methods*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010051:Ovarian Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control*; D013536:Suture Techniques