Page 44 - Journal of Laparoscopic Surgery

Mohammed Arifuzaman, Asna Samreen

Fig. 10: Technique using 2 S-retractors for suture placement underdirect visualization to secure the abdominal
wall fascia and peritoneum
looped needle then passes through the skin about The trocar sheath is removed, and both needles are
2 cm from another side of the trocar site to appear redirected and pushed through the subcutaneous plane
from the abdominal cavity. Then, the thread end to bring the two ends of thread at the port wound. Both
from the first needle is fed into the loop of the second thread ends are detached from the looped needles and
needle and the stent withdraws to hold the thread held by tissue forceps and tied after removal of the lapa-
end inside the needle. The stent of the first needle roscopic port. They reported the use of this technique
is pushed to make the thread free through the loop in 87 patients of laparoscopic cholecystectomy and no
(Fig. 12). Then, both needles with thread are withdrawn port-site hernias were reported during a mean to follow-
until the needle tips appear at the subcutaneous plane. up of 18 months.
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