Aneurysm Needle as an Effective Tool in Laparoscopic Port Closure.
The importance of port closure after laparoscopic surgeries is emphasized by the extensive number of techniques being described for the same. Even so, the search for a simple, time-saving, and effective technique still continues. One commonly overlooked factor is the obliquity of laparoscopic ports, which makes direct visualization of the rectus fascia through the skin incision difficult. Also, our patients, mostly of Indian ethnicity, tend to have relatively thick subcutaneous fat that again acts as a constraint during port closure. We have described a simple and effective method of laparoscopic port closure using Moynihan's aneurysm needle and a skin hook. This technique is particularly advantageous in the above-mentioned scenarios. We have been successfully using this technique in our institution for the past 6 years, and we have not encountered any case of port-site hernia. Our technique does not require expensive instruments or the need for visualization via a camera.
Department of General Surgery, Madurai Medical College , Madurai, Pondicherry, India .
Ashwin
A
Rajendiran
Department of General Surgery, Madurai Medical College , Madurai, Pondicherry, India .
Dhevendran
D
Maruthupandian
Department of General Surgery, Madurai Medical College , Madurai, Pondicherry, India .
Kathiresan
K
Karunakaran
Department of General Surgery, Madurai Medical College , Madurai, Pondicherry, India .
Mohammed Nasheer Ahmed
MN
Syed
D034861:Abdominal Wall / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D006801:Humans; D009339:Needles; D013536:Suture Techniques / Q000295:instrumentation*