scholarly journals Use of a novel integrated port closure system - A multi-center study

2020 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract Background The incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.Methods A multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.Results Fifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.Conclusions The TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

scholarly journals Use of a novel integrated port closure system - A multi-center study

2021 ◽  
Author(s):  
Qarawany Milad ◽  
Hagar Mizrahi ◽  
Surendra Ugale ◽  
Guy Pascal ◽  
David Hazzan
Keyword(s):  
Laparoscopic Surgery ◽  
Adverse Events ◽  
Port Site ◽  
Fascial Closure ◽  
Closure System ◽  
Open Label ◽  
Trocar Site ◽  
Port Closure ◽  
Port Site Hernia ◽  
One Year

Abstract BackgroundThe incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4 %. The fascial closure at the port site can be challenging in some cases.MethodsA multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.ResultsFifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8-5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.ConclusionsThe TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

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.

scholarly journals CONTROLLED UNDER VISION TECHNIQUE (CUTE) OF LAPAROSCOPIC PORT SITE CLOSURE

2019 ◽  
pp. 1-2
Author(s):  
Arun Singh ◽  
Sunil Kumar Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Simple Technique ◽  
Port Site ◽  
Fascial Closure ◽  
New Delhi ◽  
Port Site Hernia ◽  
New Challenges ◽  
Vision Technique

BACKGROUND:Various new challenges have emerged since the introduction of laparoscopic surgery. Port site hernia is one of the serious complication. Various methods have been introduced to reduce it. The aim of this article is to introduce a procedure that is easy, safe and quick to perform and will help in decreasing port site complications after laparoscopic procedure. MATERIAL AND METHOD:We have described here a simple technique for the facial closure after laparoscopic surgery over 100 patients who underwent laparoscopic cholecystectomy repair at VMMC & Safdarjung Hospital, New Delhi. RESULT:This method was used in 100 patients with no intro-operative complication, no port site hernia reported in a follow up period of 1 year. CONCLUSION:This procedure of fascial closure is safe, quick, effective and easy to perform method of facial closure.

scholarly journals Port site hernia repair using the VersaOne™ Fascial Closure System: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Emi Hagui ◽  
Masahiro Kimura ◽  
Takeyasu Katada ◽  
Takaya Nagasaki ◽  
Seiichi Nakaya ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Cavity ◽  
Port Site ◽  
Fascial Closure ◽  
Obese Patients ◽  
Closure System ◽  
Fascial Defect ◽  
System A ◽  
Port Site Hernia ◽  
Incomplete Closure

Abstract The use of laparoscopic surgery has become widespread in recent years. One of its complications is port site hernia (PHS). It can be difficult to close the fascia at the time of laparoscopy, especially in obese patients, and there is a risk of herniation through a fascial defect with incomplete closure. It is important to ascertain closure of the defect when repairing PHS to prevent recurrence. We report a 47-year-old woman who developed a PHS at the superior aspect of the umbilicus. We repaired the defect using the VersaOneTM Fascial Closure System with laparoscopic guidance. This system allows the port site to be reliably closed while observing the suture from the abdominal cavity. The incision is the same size as a port site. If the abdominal wall is thick and the PHS has a diameter of ~10 mm, this method is considered to be indicated, regardless of the site.

scholarly journals SURGICAL AUDIT - LAPAROSCOPIC CHOLECYSTECTOMY IN A FREE CAMP AT PRIVATE SECTOR HOSPITAL

2020 ◽  
Vol 11 (2) ◽  
pp. 16-20
Author(s):  
Dr. Abdul Ghani Soomro
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Hospital Stay ◽  
Open Cholecystectomy ◽  
Port Site ◽  
Bladder Injury ◽  
Safe Procedure ◽  
Trocar Site ◽  
Port Site Hernia ◽  
Surgical Audit

BACKGROUND & OBJECTIVE: Laparoscopic Cholecystectomy is usual method for the treatment of gall bladder stone disease and is practiced all over the world due to many benefits like fasten the recovery time. Furthermore, it reduced the post-operative pain and period of hospital stay. To conduct Surgical Audit and evaluate safety of Laparoscopic cholecystectomy. METHODOLGY: This prospective study was conducted in a private hospital at Hyderabad during free camps of Laparoscopic Cholecystectomy. Four camps were arranged in 2016 - 2019. Total number of 190 patients  underwent Laparoscopic Cholecystectomy during the study period. The patient's age falls between 12–65 years. A detailed history, relevant investigation and Cardiac fitness were evaluated. All patients underwent four ports Lap-Chole. Data was collected assessed and audit was performed and safety was evaluated. RESULTS: Total 190 patients operated females 88.45% and males 11.55%. 115 (60.50%)were in  the range of 30-35 years followed by 55 (28.95%)patients in the range of 40-50 years.8 (4.20%) patients were converted to open cholecystectomy, 4 due to bleeding from liver bed, 3 patients due to difficult dissection in calots triangle and 1 due to Empyema of gall bladder.10 patients (5.50%) had Trocar site bleeding, 10 patients (5.50%) had gall bladder injury, in 4 cases had spillage of stones and 72 patients (38.50%) developed umbilical port site infection 1 patient develop port site hernia. No mortality was recorded in this study. CONCLUSION: Our Surgical Audit proves that Laparoscopic Cholecystectomy is a safe procedure on the basis of only 4.2% intra operative and 5.5% postoperative complications and gaining wide spread popularity among our population due to less pain, less hospital stay. We recommend other private hospitals to extent such services to our poor population with symptomatic cholelithiasis.

Port site hernia in laparoscopic surgery: Mechanism, prevention and management

2015 ◽  
Vol 5 (3) ◽  
pp. 130-137 ◽  
Author(s):  
Mohan Venkatesh Pulle ◽  
Rahul Siddhartha ◽  
Ashish Dey ◽  
Tarun Mittal ◽  
Vinod K. Malik
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Port Site Hernia

Long-Term Surgical Outcome of Trocar Site Hernia Repair

2017 ◽  
Vol 83 (2) ◽  
pp. 176-182
Author(s):  
Yoon-Hye Kwon ◽  
Eun Kyung Choe ◽  
Seung-Bum Ryoo ◽  
Jeong-Ki Kim ◽  
Kyu Joo Park
Keyword(s):  
Laparoscopic Surgery ◽  
Recurrence Rate ◽  
Late Onset ◽  
The Body ◽  
Port Site ◽  
Trocar Site ◽  
Mesh Reinforcement ◽  
Trocar Site Hernia ◽  
Onset Group

Port site hernias are emerging as a problematic complication of laparoscopic surgery. The aim of this study was to elucidate the characteristics of port site hernias and determine the long-term outcomes based on the interval between primary surgery and hernia occurrence. Twenty-four patients were surgically treated for trocar site hernia between 1997 and 2013. The patients were grouped into early-onset group (EOG; less than one month) and late-onset group (LOG; more than one month) based on the interval between laparoscopic surgery and hernia onset. A retrospective analysis was performed. There were seven patients in the EOG and 17 patients in the LOG. The body mass index was significantly higher (P = 0.033) in the LOG. In the EOG, primary closure was performed, and there were no recurrences. In the LOG, mesh reinforcement was applied in 58.8 per cent of patients, and 29.4 per cent of patients had recurrences. This recurrence rate was higher than the recurrence rate after primary repair of incisional hernia after open laparotomy (P = 0.088). In conclusion, In the EOG, small bowel resection was more frequent, but once repaired, there were no recurrences. Although mesh reinforcement was applied in the LOG, the recurrence rate was not less than the EOG.

scholarly journals Complications of Laparoscopic Cholecystectomy

2019 ◽  
Vol 17 (2) ◽  
pp. 73-79
Author(s):  
ABM Khurshid Alam ◽  
Mashrur Akbar Khan ◽  
Rashed Uz Zaman ◽  
Md Ali Akbar ◽  
Md Abul Bashar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallbladder Disease ◽  
Gallstone Disease ◽  
Gall Stone ◽  
Bile Leakage ◽  
Port Site ◽  
Trocar Site ◽  
College Hospital ◽  
Port Site Hernia ◽  
Complications Of Laparoscopic Cholecystectomy

Background: laparoscopic cholecystectomy is now regarded as the "Gold Standard" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease. Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed. Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases. Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications. Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79

UP-02.061 Incidence of Port Site Hernia After Laparoscopic Surgery

Urology ◽  
2011 ◽  
Vol 78 (3) ◽  
pp. S280
Author(s):  
M. Zalesky ◽  
P. Nencka ◽  
V. Vik ◽  
R. Zachoval
Keyword(s):  
Laparoscopic Surgery ◽  
Port Site ◽  
Port Site Hernia
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