Document Detail


A simple method of closure of a laparoscopic trocar site.
MedLine Citation:
PMID:  8632385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trocar site herniation is a recognized complication of laparoscopic surgery. Omental herniation, and more importantly small-intestinal herniation with incarceration and obstruction, has been documented in surgical literature, occurring particularly at the large trocar sites (> or = 10 mm) that were not sutured at operation. Secure closure of the trocar site fascial wound is often technically difficult, being hampered by the limited size of skin incision, the depth of the subcutaneous fatty layer, and the concern about placing deep sutures blindly after the abdomen has been decompressed. We describe a simple technique to effect this closure securely and safely, and briefly discuss its other applications and limitations.
Authors:
B J Ammori; J C Morais
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  41     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-06-28     Completed Date:  1996-06-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  120-1     Citation Subset:  IM    
Affiliation:
York District Hospital, UK.
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MeSH Terms
Descriptor/Qualifier:
Humans
Laparoscopy / adverse effects,  methods*
Suture Techniques*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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