Faculty of Medicine, General Surgery Department, Zagazig University, Zagazig, 44519, Egypt.
Surg Endosc. 2010 Oct;24(10):2637-9. doi: 10.1007/s00464-010-1012-3. Epub 2010 Mar 26.
The incidence of trocar site incisional hernia following laparoscopic surgery is reported to be relatively high. The main reasons are trocar diameter and design, pre-existing fascial defects, and some operation- and patient-related factors. The goal of this article is to present a new procedure for anatomical closure of the trocar site to prevent its herniation.
In this study, 120 patients underwent laparoscopic cholecystectomy from June 2006 through February 2009 at the General Surgery Department, Zagazig University Hospital, Egypt. After the laparoscopic procedure was complete, the trocar sites were closed in anatomical layers by using a tip hole needle and a redirecting suture hook. The mean follow-up period was 2 years for any complication at these trocar sites.
The mean hospital stay was 1.2 days, the mean age of the patients was 49.4 years, and the mean time to place one suture was 5 min. No trocar site hernia occurred with this technique during a mean follow-up of 2 years. Seven patients developed superficial infection at the trocar site and no mortality was reported.
Good closure of the trocar site in layers by using a tip hole needle and a redirecting suture hook will prevent trocar site herniation.
腹腔镜手术后发生套管部位切口疝的发病率相对较高。主要原因是套管的直径和设计、预先存在的筋膜缺损以及一些与手术和患者相关的因素。本文的目的是介绍一种新的套管部位解剖性闭合方法，以防止其疝出。
本研究中，埃及 Zagazig 大学医院普外科于 2006 年 6 月至 2009 年 2 月对 120 例患者进行了腹腔镜胆囊切除术。腹腔镜手术完成后，使用尖端孔针和转向缝线钩将套管部位按解剖层次进行闭合。对这些套管部位的任何并发症的平均随访时间为 2 年。
平均住院时间为 1.2 天，患者平均年龄为 49.4 岁，放置一根缝线的平均时间为 5 分钟。在平均 2 年的随访中，没有发生这种技术导致的套管部位疝。7 例患者在套管部位发生浅表感染，无死亡病例。
使用尖端孔针和转向缝线钩分层良好地闭合套管部位可防止套管部位疝出。
