An Easy Way to Close the Trocar Hole in Obese Patients
2015
Background: Ten-millimeter ports are often used in laparoscopic surgery.
It could be difficult to close the ports sites, especially in obese patients.
We described a new method to close ten-millimeter port-site wounds, effective
and easily to perform. Methods: Forty cases of laparoscopic bariatric surgery
were performed from April 2010 to September 2011 at IRCAD Taiwan. Among them,
30 patients received trocar hole closed with SURGICEL® Original Hemostat and the other 10 patients received trocar hole closed with
autologous fat. The results were recorded. Results:
In group of SURGICEL® Original Hemostat, includes 21 female and 9 male,
age range from 18 to 54 with average 39.5 years. Average BMI is 42.4 (range
from 32.6 to 55). The operations include 27 cases of laparoscopic sleeve
gastrectomy, 2 cases of laparoscopic gastric bypass, and 1 case of laparoscopic
mini-bypass. Group of autologous fat includes 3 female and 7 male, age range
from 20 to 49 with average 38.6 years. Average BMI is 39 (range from 32.8 to
64.5). The operations include 9 cases of laparoscopic sleeve gastrectomy, and 1
case of laparoscopic mini-bypass. No complications of trocar wound including
infection, hematoma, and hernia were found for a mean follow-up of 6 months. Conclusions: For obese patients,
closure of port sites can be difficult. We described a method of closing 10-mm
port-sites wounds, which are easy, effective, and not required any special
instruments.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
15
References
0
Citations
NaN
KQI