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A simple technique of laparoscopic port closure allowing wound extension.

Authors
  • Christey, G R
  • Poole, G
Type
Published Article
Journal
Surgical Endoscopy
Publisher
Springer-Verlag
Publication Date
Apr 01, 2002
Volume
16
Issue
4
Pages
696–697
Identifiers
PMID: 11972217
Source
Medline
License
Unknown

Abstract

Reliable and safe access to the abdominal cavity and efficient removal of the resected gallbladder are essential to laparoscopic cholecystectomy. The unpredictable size of the cholecystectomy specimen can sometimes lead to frustration at the time of removal. A simple technique has been developed that allows for tissue extraction and easy fascial closure regardless of the size of the specimen. This is achieved by using a four bite "U-shaped" purse string at the time of Hasson insertion, with cephalad advancement of the proximal two bites. This allows for variable wound extension and secure closure, without the need for additional sutures.

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