Authors: Ahmed E Lasheen Awni Elzeftawy AbdelHafez M Ahmed Wael E Lotfy
Publish Date: 2010/03/26
Volume: 24, Issue: 10, Pages: 2637-2639
Abstract
The incidence of trocar site incisional hernia following laparoscopic surgery is reported to be relatively high The main reasons are trocar diameter and design preexisting fascial defects and some operation and patientrelated factors The goal of this article is to present a new procedure for anatomical closure of the trocar site to prevent its herniationIn this study 120 patients underwent laparoscopic cholecystectomy from June 2006 through February 2009 at the General Surgery Department Zagazig University Hospital Egypt After the laparoscopic procedure was complete the trocar sites were closed in anatomical layers by using a tip hole needle and a redirecting suture hook The mean followup period was 2 years for any complication at these trocar sitesThe mean hospital stay was 12 days the mean age of the patients was 494 years and the mean time to place one suture was 5 min No trocar site hernia occurred with this technique during a mean followup of 2 years Seven patients developed superficial infection at the trocar site and no mortality was reported
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