Post-surgical laparoscopic port site closure techniques vary according to team preference, but one thing is constant in most operating rooms: the goal is to limit incisional hernias, fluid leakages, and other intraoperative obstacles. Fascial closure techniques that are simple, and quick prove to be the safest and most cost-effective. The use of specialized devices may mean more costs to cover over the year which may not feasible for some medical institutions. Upgrades may need to be made within surgical parameters for those using a classic port model. These are just a few of the reasons why teams opt for safer alternatives.
The focal point of laparoscopic port site closure is the complete and total closure of the port site by fasical suture. There are quite a few ways to carry out the procedure – single port occurs via extracorporeal assistance; double-port happens from inside; and a technique that doesn’t require any additional ports at all. This isn’t a full disclosure of port-closure techniques, but a general overlook.
Some surgeons have demonstrated the value of introducing blunt entry trocars. Bladeless, robot-assisted laparoscopy has been shown to decrease contact with abdominal walls after the trocar sleeves are removed. This can mitigate hernias at the trocar site and the port site. The use of spring-loaded or suture passer needles can also minimize surgical complications even when minimally invasive.
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