Laparoscopic Port Closure Techniques
The access technique will result in a breach in the continuity of the abdominal wall which needs to be repaired at the end of surgery. All the 10 mm or greater than 10 mm port should be repaired properly to prevent any future possibility of a hernia. The rectus sheath is only necessary to suture with Vicryl. Only one stitch is required in the middle which will convert 10 mm wound into 5 mm. The 5 mm port wounds are not necessary to repair.
Port closure with the help of suture passer
Port closure needle and aneurysm needle
Various types of port closure instruments are available. The suture passer is a convenient instrument for port closure it is used to pass the thread on the side of the cannula and then it is tied externally. For port closure specially designed port closure instruments are also available commercially, like port closure needle and aneurism needle. After closing the rectus sheath the skin can be closed by intradermal, skin stapler, or by any of the surgical skin glues available.
The access technique will result in a breach in the continuity of the abdominal wall which needs to be repaired at the end of surgery. All the 10 mm or greater than 10 mm port should be repaired properly to prevent any future possibility of a hernia. The rectus sheath is only necessary to suture with Vicryl. Only one stitch is required in the middle which will convert 10 mm wound into 5 mm. The 5 mm port wounds are not necessary to repair.
Port closure with the help of suture passer
Port closure needle and aneurysm needle
Various types of port closure instruments are available. The suture passer is a convenient instrument for port closure it is used to pass the thread on the side of the cannula and then it is tied externally. For port closure specially designed port closure instruments are also available commercially, like port closure needle and aneurism needle. After closing the rectus sheath the skin can be closed by intradermal, skin stapler, or by any of the surgical skin glues available.
