• O M Elashry, S Y Nakada, J S Wolf, R S Figenshau, E M McDougall, and R V Clayman.
• Department of Surgery, Mallinckrodt Institute of Radiology.
• J. Am. Coll. Surg. 1996 Oct 1;183(4):335-44.

BackgroundRecently, a number of laparoscopic port-closure techniques have been reported to avoid the complications associated with the port closure after laparoscopic surgery. To evaluate these port-closure techniques, we compared seven new laparoscopic port-closure techniques with the standard technique of a hand-sutured closure.Study DesignIn a prospective, randomized study, 95, 12-mm port sites in 32 patients undergoing transperitoneal laparoscopic procedures were randomized to one of eight different port-site closure techniques. The port-closure techniques included: the Carter-Thomason Needle-Point Suture Passer, Maciol suture needle set, eXit Disposable Puncture Closure device, Endoclose suture carrier, Tahoe Surgical Instruments Ligature device, a long 14-gauge angiocatheter with looped polypropylene suture, Lowsley retractor with hand-sutured closure, and the standard technique of hand-sutured closure. We evaluated the time, the security, and the auxiliary instrumentation required for each closure.ResultsOf the port-closure techniques, the Carter-Thomason device was faster overall, resulted in fewer port-closure-related complications and provided a leak proof closure.ConclusionsThe Carter-Thomason device is our preferred method for the closure of port sites after laparoscopic surgery.

10 keywords...

hide…