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Published in: Surgical Endoscopy 8/2007

01-08-2007 | Review

Port closure techniques

Author: Z. Shaher

Published in: Surgical Endoscopy | Issue 8/2007

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Abstract

Background

Laparoscopic trocars do create wounds. This article aims to review and list different techniques used for closure of the fascia incision at trocar sites.

Methods

A literature search was performed for articles dealing with closure techniques. The author searched this subject in English on Medline by combining the words “trocar” and “hernia,” as well as “Deschamps” and “Reverdin.” All articles reporting techniques with their references were reviewed.

Results

The articles described many techniques in addition to classical closure using curved needles, including Grice needle, Maciol needles, Endoclose device, Carter-Thomason device, Tahoe ligature device, Endo-Judge device, eXit puncture closure device, Lowsley retractor, spinal cord needles, dual hemostat, suture carrier, Riverdin and Deschamps needles, and Gore-Tex closure device.

Conclusion

Three main groups of techniques were found with favor of extracorporeal manipulations under direct visualization. Old methods are sufficient and cost-effective.
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Metadata
Title
Port closure techniques
Author
Z. Shaher
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 8/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-006-9095-6

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