Page 41 - Journal of Laparoscopic Surgery

WJOLS

Laparoscopic Port Closure Techniques and Incidence of Port-site Hernias: A Review and Recommendations
the defect under vision (Fig. 4). They report the use of Carter–Thomason Needle-point Suture Passer 21
this technique in over 12 laparoscopic procedures over
7 years without a single port-site hernia. The Carter–Thomason needle-point suture passer func-
tions as both a needle and a grasper, which allows for
performing laparoscopic directed fascial and peritoneal
closure. It uses a 2.7 mm diameter grasping tool with
a single-action jaw. The device introduces the suture
through the muscle, fascia, and peritoneal layers under
direct laparoscopic vision drop the suture pick it up at
the opposite side of the opening and are withdrawn
grasping the suture (Fig. 5). The surgeon completes the
Fig. 2: Lasheen needle. It is a curved needle; its length ranges from
10 to 15 cm. It has two sharp pointed ends and a hole at the middle mass closure of the layers by tying the suture below
of its length, through which the thread (No. 0 Vicryl) is passed. the skin.

Fig, 3: Steps of lasheen needle closure technique.
World Journal of Laparoscopic Surgery, May-August 2018;11(2):90-102 93