A laparoscopic port site closure is a medical procedure that refers to the process of securely closing the small incisions that are made during laparoscopic surgery, or surgery where small keyhole-size incisions are made to perform the procedure. As with any surgery, it is vitally important to properly and securely close up the patient to help minimize the chances of infection and promote quicker healing and a complete recovery. Learn more about what is involved in a laparoscopic port site closure and how it is achieved below.
How This Type of Closure is Achieved?
A laparoscopic port site closure is usually achieved in one of three main ways. One main way is through sutures (also known as stitches). These are used to achieve complete, secure closure by ensuring there is proper knot placement above the fascial plane. Two other ways of achieving this type of closure are through papertape and tissue adhesive, as well as through staples.
Importance and Challenges of Such Closures
The importance of achieving such closures is ensuring the closure is secure so as to minimize infection and promote rapid healing and recovery. In addition, if the fascial layers are not sealed properly, there is a chance of trocar site hernias occurring, which can result in bowel blockage, protrusion of the abdomen, and other serious medical conditions.
There are challenges in achieving these closures. There are variations in muscle and fat thickness, both based on the area that the surgery occurs in and on the patient themselves. This can make it difficult to properly assess where to apply sutures, staples, or papertape to ensure a proper closure.
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