Suture retraction of the uterus using a percutaneous port closure needle during laparoscopic mesorectal dissection

2019 ◽  
Vol 90 (7-8) ◽  
pp. 1499-1500
Author(s):  
Kilian G. M. Brown ◽  
Angelina Di Re ◽  
Dean Fisher
Keyword(s):  
Port Closure

Functional Anatomy Underlying Pharyngeal Swallowing Mechanics and Swallowing Performance Goals

2019 ◽  
Vol 4 (4) ◽  
pp. 648-655
Author(s):  
William G. Pearson ◽  
Jacline V. Griffeth ◽  
Alexis M. Ennis
Keyword(s):  
Functional Anatomy ◽  
Neuromuscular Control ◽  
Upper Esophageal Sphincter ◽  
Performance Goals ◽  
Laryngeal Elevation ◽  
Port Closure ◽  
Swallowing Dysfunction ◽  
Hyoid Movement ◽  
Pharyngeal Swallowing ◽  
Pharyngeal Constriction

Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.

scholarly journals The Chennai port closure method- a novel simple technique for laparoscopic port closure

2021 ◽  
Author(s):  
Nivash Selvaraj ◽  
Kunal Dholakia ◽  
Srivathsan Ramani ◽  
Narasimhan Ragavan
Keyword(s):  
Simple Technique ◽  
Laparoscopic Port ◽  
Port Closure ◽  
Closure Method

scholarly journals Simple and Safe Technique of Port Closure

2007 ◽  
Vol 89 (2) ◽  
pp. 178-178
Author(s):  
N Manimaran ◽  
V Rao
Keyword(s):  
Port Closure ◽  
Safe Technique

Different Port Closure Techniques in Laparoscopy Surgery

2009 ◽  
pp. 29-38 ◽  
Author(s):  
Majid A Hamood ◽  
RK Mishra
Keyword(s):  
Port Closure ◽  
Laparoscopy Surgery

Perfecting the dual-hemostat port-closure technique

2003 ◽  
Vol 17 (11) ◽  
pp. 1867-1868 ◽  
Author(s):  
W. T. Ng
Keyword(s):  
Closure Technique ◽  
Port Closure

Aneurysm Needle as an Effective Tool in Laparoscopic Port Closure

2015 ◽  
Vol 25 (9) ◽  
pp. 744-746 ◽  
Author(s):  
Ashwin Rajendiran ◽  
Dhevendran Maruthupandian ◽  
Kathiresan Karunakaran ◽  
Mohammed Nasheer Ahmed Syed
Keyword(s):  
Laparoscopic Port ◽  
Port Closure

scholarly journals Trocar site closure with a novel anchor-based (neoClose®) system versus standard suture closure: A prospective randomized controlled trial

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
P Iranmanesh ◽  
K Bajwa ◽  
B Snyder ◽  
T Wilson ◽  
K Chandwani ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Port Site ◽  
Fascial Closure ◽  
Laparoscopic Bariatric Surgery ◽  
Trocar Site ◽  
Randomized Controlled ◽  
Trocar Site Hernia ◽  
Port Closure

Abstract Objective Patients with obesity have a higher risk of trocar site hernia. The objective of the present study was to compare a standard suture passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery. Methods This is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars ≥ 10 mm was performed with the neoClose® device in the study group and the standard suture passer in the control group. Primary outcomes were time required to complete closure and intensity of postoperative pain at the fascial closure sites. Secondary outcomes were intraabdominal needle depth and incidence of trocar site hernia. Results The use of the neoClose® device resulted in shorter closure times (20.2 vs 30.0 s, p = 0.0002), less pain (0.3 vs 0.9, p = 0.002) at port closure sites, and decreased needle depth (3.3 cm vs 5.2 cm, p < 0.0001) compared to the standard suture passer. There was no trocar site hernia at the one-year follow-up in either group. Conclusion Use of the neoClose® device resulted in faster fascial closure times, decreased intraoperative needle depth, and decreased postoperative abdominal pain at 1 week as compared to the standard suture passer. These data need to be confirmed on larger cohorts of patients with longer follow-up, especially in terms of long-term hernia recurrence rates.

Furlow Palatoplasty to Restore Velopharyngeal Competence following Tonsillectomy Avulsion of a Pharyngeal Flap

2001 ◽  
Vol 38 (1) ◽  
pp. 84-88
Author(s):  
Arun K. Gosain ◽  
Daniel Remmler
Keyword(s):  
Cleft Palate ◽  
Velopharyngeal Insufficiency ◽  
Salvage Procedure ◽  
Flap Surgery ◽  
Routine Procedure ◽  
Port Closure ◽  
Mechanical Interference ◽  
Submucous Cleft Palate ◽  
Previously Treated ◽  
Pharyngeal Flap

Objective We report the successful use of a Furlow palatoplasty to salvage velopharyngeal competence following iatrogenic avulsion of a pharyngeal flap that had been previously established to treat velopharyngeal insufficiency associated with a submucous cleft palate. Intervention A tonsillectomy, conducted by a surgeon unaffiliated with a cleft palate team, was used to remove enlarged tonsils that had developed after pharyngeal flap surgery and extended into the lateral ports causing nasal obstruction and hypernasality because of mechanical interference with port closure. A posttonsillectomy evaluation revealed avulsion of the pharyngeal flap, which was successfully treated using a Furlow palatoplasty. Conclusions To our knowledge, this is the first report of iatrogenic avulsion of a pharyngeal flap caused by tonsillectomy. Based on a review of the literature and this case experience, we would conclude that tonsillectomy should not be regarded as a routine procedure in patients previously treated with a pharyngeal flap. If required, it should be performed by a skilled otolaryngologist, preferably one affiliated with a multidisciplinary cleft palate team who is familiar with pharyngoplasty surgery. Finally, our experience would suggest that the Furlow palatoplasty is sufficiently robust to be used as a secondary salvage procedure to restore velopharyngeal sufficiency following iatrogenic avulsion of a pharyngeal flap.

Laparoscopic Port Closure Technique

2008 ◽  
pp. 137-137
Author(s):  
RK Mishra
Keyword(s):  
Closure Technique ◽  
Laparoscopic Port ◽  
Port Closure
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