A simple technique for trocar site closure after laparoscopic surgery

1999 ◽  
Vol 13 (12) ◽  
pp. 1249-1251 ◽  
Author(s):  
I. Petrakis ◽  
V. Sciacca ◽  
G. Chalkiadakis ◽  
S. I. Vassilakis ◽  
E. Xynos
Keyword(s):  
Laparoscopic Surgery ◽  
Simple Technique ◽  
Trocar Site ◽  
Trocar Site Closure

scholarly journals Evaluation of a Novel Trocar-Site Closure Device in Laparoscopic Surgery

2020 ◽  
Vol 24 (3) ◽  
pp. e2020.00033
Author(s):  
Youngbae Jeon ◽  
Soohwa Song ◽  
Kyoung-Won Han ◽  
Dong-Hyuk Lee ◽  
Jeong-Heum Baek
Keyword(s):  
Laparoscopic Surgery ◽  
Closure Device ◽  
Trocar Site ◽  
Trocar Site Closure

scholarly journals Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

2021 ◽  
Vol 27 (4) ◽  
pp. 125-131
Author(s):  
Hyo Jeong Kwon ◽  
Jung Hyeou Kim ◽  
Chae Rim Lee ◽  
Jangyoun Choi ◽  
Suk-Ho Moon ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Simple Procedure ◽  
Surrounding Tissue ◽  
Time Interval ◽  
Trocar Site ◽  
Transposition Flap ◽  
Scar Assessment ◽  
Surgical Wounds ◽  
Keloid Scars ◽  
Single Method

Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid developed at the trocar site after laparoscopic surgery and managed the keloid using a transposition flap.Methods A total of 10 umbilical keloid patients treated from 2013 to 2020 were included in this study. All patients developed a keloid due to the placement of a laparoscopic trocar incision port, and their major complaints varied from an asymptomatic nodule to pruritus or pain. All excisions were performed under local anesthesia, and transposition flaps were planned afterward. The surrounding tissue was rearranged so that the shape of the umbilicus was deformed to the minimum extent possible. The keloid scars were examined both preoperatively and 6 months postoperatively using the Patient and Observer Scar Assessment Scale (POSAS).Results All surgical wounds healed well without complications. The average time interval from laparoscopic surgery to keloid scar revision was 4.3 years. The mean postoperative follow-up period was 10.9 months, and no patient underwent reoperation. Four patients were treated with triamcinolone after surgery due to mild hypertrophy or pruritus. The POSAS observer scale showed significantly decreasing scores over time in all patients (P=0.002).Conclusions Cosmetically unfavorable keloids that form in the umbilicus following laparoscopic surgery can be improved with a simple procedure using excision and transposition flaps.

scholarly journals Trocar Site HERnias After Bariatric Laparoscopic Surgery (HERBALS): a Prospective Cohort Study

2020 ◽  
Vol 30 (5) ◽  
pp. 1820-1826 ◽  
Author(s):  
Ioannis Karampinis ◽  
Eliette Lion ◽  
Svetlana Hetjens ◽  
Georgi Vassilev ◽  
Christian Galata ◽  
...  
Keyword(s):  
Cohort Study ◽  
Laparoscopic Surgery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Trocar Site

scholarly journals 5-Millimeter Trocar-Site Bowel Herniation Following Laparoscopic Surgery

2012 ◽  
Vol 16 (2) ◽  
pp. 306-310 ◽  
Author(s):  
Nauman Khurshid ◽  
Maurice Chung ◽  
Terrence Horrigan ◽  
Kelly Manahan ◽  
John P. Geisler
Keyword(s):  
Laparoscopic Surgery ◽  
Trocar Site ◽  
Bowel Herniation

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.

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