Port-site closure using a modified aptos needle.
OBJECTIVE
Trocar-site incisional hernias are the most common complications in laparoscopic surgery. Fascial closure of port sites represents a challenging issue in laparoscopic surgery.


METHODS
We describe a simple easy technique for fascial closure of port sites using a double-tip needle (Lasheen needle). This study included 100 patients who underwent laparoscopic surgery from January 2009 through August 2011 in the General Surgery Department, Zagazig University Hospital, Zagazig, Egypt. The mean follow-up period was 2 years for any wound complications at these trocar sites.


RESULTS
The mean age of the patients was 39.5 years, and the mean time for placement of one suture was 2 minutes. No trocar-site herniation occurred with our technique during the period of follow-up. Infection developed at the trocar site in 3 patients.


CONCLUSIONS
This technique is easy, simple, safe, fast, inexpensive, and effective for fascial closure of trocar sites.
General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed
A
Lasheen
Khaled
K
Safwat
Alaa
A
Fiad
Abdelwahab
A
Elmoregy
Abdel Wahab
AW
Hamed
D058107:Abdominal Wound Closure Techniques / Q000295:instrumentation*; D000328:Adult; D004867:Equipment Design; D005260:Female; D006555:Hernia, Ventral / Q000517:prevention & control; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques / Q000295:instrumentation*; D055815:Young Adult