Surgical Endoscopy

, Volume 9, Issue 7, pp 838–840

New closure technique for lateral operative laparoscopic trocar sites

A report of 80 closures
  • N. H. Stringer
  • E. S. Levy
  • M. P. Kezmoh
  • J. Walker
  • S. Abramovitz
  • D. L. Sadowski
  • Y. Keflemariam
Technique

DOI: 10.1007/BF00190096

Cite this article as:
Stringer, N.H., Levy, E.S., Kezmoh, M.P. et al. Surg Endosc (1995) 9: 838. doi:10.1007/BF00190096

Abstract

The reported frequency of incisional hernias, after operative gynecological laparoscopy, at extraumbilical trocar sites is one per 32 puncture sites created by a 12-mm trocar. A new closure technique of suturing with the Grice Needle (Ideas for Medicine, Inc., Clearwater, FL) before removing the trocars was utilized to close 80 lateral trocar sites (42 consecutive laparoscopic myomectomies). The trocar sizes in this study were 12 mm and 18 mm. This is the largest reported series of lateral trocar-site closures. No hematomas or bleeding or incisional hernias have resulted from use of this technique. This closure allows the surgeon to completely close both peritoneum and fascia, of the lateral trocar sites, under direct laparoscopic visualization without the loss of pneumoperitoneum or risk of inadvertent injury to the small bowel.

Key words

Laparoscopic myomectomyLaparoscopic incision closureIncisional herniaBowel obstructionComplicationsHematomas

Copyright information

© Springer-Verlag New York Inc. 1995

Authors and Affiliations

  • N. H. Stringer
    • 1
  • E. S. Levy
    • 1
  • M. P. Kezmoh
    • 1
  • J. Walker
    • 1
  • S. Abramovitz
    • 1
  • D. L. Sadowski
    • 1
  • Y. Keflemariam
    • 1
  1. 1.Department of Obstetrics and Gynecology, Rush Medical CollegeRush-Presbyterian St. Luke's Medical CenterChicagoUSA