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The Chennai port closure method: A novel simple technique for laparoscopic port closure
PURPOSE: Large-size ports used for laparoscopic and robotic procedures will require appropriate closure to reduce the probability of trocar site complications including hematoma and hernia. Closure of these ports is done by various methods like the open method extending skin incisions, S-retractor,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985694/ https://www.ncbi.nlm.nih.gov/pubmed/33778460 http://dx.doi.org/10.1016/j.sopen.2021.02.001 |
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author | Selvaraj, Nivash Dholakia, Kunal Ramani, Srivathsan Ragavan, Narasimhan |
author_facet | Selvaraj, Nivash Dholakia, Kunal Ramani, Srivathsan Ragavan, Narasimhan |
author_sort | Selvaraj, Nivash |
collection | PubMed |
description | PURPOSE: Large-size ports used for laparoscopic and robotic procedures will require appropriate closure to reduce the probability of trocar site complications including hematoma and hernia. Closure of these ports is done by various methods like the open method extending skin incisions, S-retractor, Carter Thomason method, and so on. Chennai port closure (CHC) method, a novel technique that had been in practice in our unit for more than 2 years, ensures direct visualization of the suture placement, and hence, the abdominal wall fascia and peritoneum are secured. MATERIALS AND METHOD: We herein describe an easy technique for fascial closure in port size (≥ 10 cm) after minimally invasive surgery, including both laparoscopic and robotic procedures, using a cobbler needle in 151 patients in the study period between February 2017 and March 2020 for various urological procedures. This technique was done before the introduction of the trocar sheath and ensures direct visualization of the abdominal fascial closure. RESULTS: There were no major intraoperative events, additional operating time, and need for any costly instruments. No bowel injuries or trocar site hernias were documented during a mean follow-up of 28 months. Presently, this technique is used by many surgeons in our hospital without much difficulty. CONCLUSION: The Chennai port site closure technique is an effective, simple, easy-to-apply, and safe procedure. |
format | Online Article Text |
id | pubmed-7985694 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-79856942021-03-25 The Chennai port closure method: A novel simple technique for laparoscopic port closure Selvaraj, Nivash Dholakia, Kunal Ramani, Srivathsan Ragavan, Narasimhan Surg Open Sci Article PURPOSE: Large-size ports used for laparoscopic and robotic procedures will require appropriate closure to reduce the probability of trocar site complications including hematoma and hernia. Closure of these ports is done by various methods like the open method extending skin incisions, S-retractor, Carter Thomason method, and so on. Chennai port closure (CHC) method, a novel technique that had been in practice in our unit for more than 2 years, ensures direct visualization of the suture placement, and hence, the abdominal wall fascia and peritoneum are secured. MATERIALS AND METHOD: We herein describe an easy technique for fascial closure in port size (≥ 10 cm) after minimally invasive surgery, including both laparoscopic and robotic procedures, using a cobbler needle in 151 patients in the study period between February 2017 and March 2020 for various urological procedures. This technique was done before the introduction of the trocar sheath and ensures direct visualization of the abdominal fascial closure. RESULTS: There were no major intraoperative events, additional operating time, and need for any costly instruments. No bowel injuries or trocar site hernias were documented during a mean follow-up of 28 months. Presently, this technique is used by many surgeons in our hospital without much difficulty. CONCLUSION: The Chennai port site closure technique is an effective, simple, easy-to-apply, and safe procedure. Elsevier 2021-02-17 /pmc/articles/PMC7985694/ /pubmed/33778460 http://dx.doi.org/10.1016/j.sopen.2021.02.001 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Selvaraj, Nivash Dholakia, Kunal Ramani, Srivathsan Ragavan, Narasimhan The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title | The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title_full | The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title_fullStr | The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title_full_unstemmed | The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title_short | The Chennai port closure method: A novel simple technique for laparoscopic port closure |
title_sort | chennai port closure method: a novel simple technique for laparoscopic port closure |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985694/ https://www.ncbi.nlm.nih.gov/pubmed/33778460 http://dx.doi.org/10.1016/j.sopen.2021.02.001 |
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