Infra Umbilical Access Wound Closure Technique Using Tissue Holding Forceps during Laparoscopic Surgery in 120 Consecutive Cases

Abstract

Aim: How to close fascial sheath following laparoscopic surgery. Different methods and innovations have been devised to tackle this common problem following laparoscopic surgery. Aim of this study is to evaluate the efficacy, safety of this technique and incidence of port site hernia. Design: Retrospective study on one hundred and twenty patients who underwent laparoscopic surgery. Setting: Avicenna Medical College & Hospital, and Aadil hospital Defence Lahore. Method: One hundred and twenty consecutive cases from June 2016-October2017, who underwent Laparoscopic surgery were included in this study. Open access technique was used in all the cases. The wound closure was carried out using back of the tissue holding forceps to lift the rectus sheath using Polypropylene 1. The mean follow up period was 1 year for any wound problems and hernia. Results: The mean age of the patients was 43.5 years and average time taken for closure was 4 minutes and 30 seconds using Proline 1 on a standard curved needle with a range between 2.30-7.30 minutes. Total of 120 patients were inducted in study, out of which 80 patients were female. Conclusion: We found this closure technique for umbilical port as very easy, safe and effective