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Research Article
Volume 5 Issue 5 - 2020
Use of a Novel Integrated Port Closure System - A Multi-Center Study
Qarawany Milad1, Hagar Mizrahi1, Surendra Ugale2, Guy Pascal3 and David Hazzan4,5*
1Department of Surgery, Baruch Padeh Medical Center, Poriya, Israel
2Asian Bariatrics Medical Center, Hyderabad, India
3Lady Davis Carmel Medical Center, Haifa, Israel
4Department of Surgery C, Sheba Medical Center, Tel Hashomer, Israel
5Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
*Corresponding Author: David Hazzan, Department of Surgery C, Sheba Medical Center, Tel Hashomer, Israel.
Received: March 11, 2019; Published: April 25, 2020




Abstract

Background: The incidence of port site hernia (PSH) after laparoscopic surgery can reach up to 4%. The fascial closure at the port site can be challenging in some cases.

Methods: A multi-center, prospective, open label study to evaluate a new integrated port closure system (Gordian TroClose™ 1200 by Gordian Surgical™), is presented.

Results: Fifty patients were enrolled in the study. All enrolled patients underwent laparoscopic surgery, during which at least one TroClose1200 device was used per patient. Patients were followed for two and six weeks and for one year. No port PSH related to TroClose 1200 device was diagnosed at one year of follow-up. One PSH was diagnosed at a non-TroClose1200 trocar site. The surgeons were very satisfied with the new device’s performance, with an average range of 4.8 - 5.0 out of 5.0 usability question being above 4.80 out of 5. No severe adverse events or device related adverse events were observed.

Conclusion: The TroClose 1200 is a simple, safe and friendly device that may reduce the incidence of port site hernia.

Keywords: Port Site Hernia; Port Closure Device; Laparoscopic Surgery

References

  1. Muysoms FE., et al. “European Hernia Society guidelines on the closure of abdominal wall incisions”. Hernia 1 (2015): 1-24.
  2. Hackethal A., et al. “Consideration for safe and effective gynaecological laparoscopy in the obese patient”. Archives of Gynecology and Obstetrics 1 (2015): 135-141.
  3. Kilic GS., et al. “Trocar site hernia on an 8-mm port following robotic-assisted hysterectomy”. Journal of the Chinese Medical Association 2 (2014): 112-114.
  4. Kanis MJ., et al. “Five-millimeter balloon trocar site herniation: report of two cases and review of literature”. Journal of Minimally Invasive Gynecology 5 (2013): 723-726.
  5. Erdas E., et al. “Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: a long-term follow-up study”. Hernia4 (2012): 431-437.
  6. Kang DI., et al. “Incidence of port-site hernias after robot-assisted radical prostatectomy with the fascial closure of only the midline 12-mm port site”. Journal of Endourology 7 (2012): 848-851.
  7. Williams SB., et al. “Alternative technique for laparoscopic port-site closure”. Journal of Endourology 4 (2012): 311-312.
  8. Owens M., et al. “A systematic review of laparoscopic port site hernias in gastrointestinal surgery”. Surgeon4 (2011): 218-224.
  9. Chiong E., et al. “Port-site hernias occurring after the use of bladeless radially expanding trocars”. Urology 3 (2010): 574-580.
  10. Shaher Z. “Port closure techniques”. Surgical Endoscopy 8 (2007): 1264-1274.
  11. Lajer H., et al. “Hernias in trocar ports following abdominal laparoscopy. A review”. Acta Obstetricia et Gynecologica Scandinavica 5 (1997): 389-393.
Citation: David Hazzan., et al. “Use of a Novel Integrated Port Closure System - A Multi-Center Study”. EC Endocrinology and Metabolic Research 5.5 (2020): 31-38.

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