Impact Of stay sutures On Laparoscopic Access complications

Abdul-Aziz Al-Shawi, Ali

	Impact Of stay sutures On Laparoscopic Access complications
Kerbala Journal of Medicine
Article 1, Volume 11, Issue 1, 2018, Pages 3948-3951 PDF (0 K)
Author
Ali Abdul-Aziz Al-Shawi
Abstract
background: In laparoscopic surgery, the technique of first entry into the peritoneal cavity for creation of pneumoperitonium is called access technique, two methods are used for laparoscopic access either by the closed or open method. Inadvertent complications might occur during port access, although these complications are uncommon, but its potentially life- threatening. Aim: This study aims to evaluate the impact of stay sutures on the laparoscopic closed access complications. Patients and methods: A prospective study was conducted in 238 patients underwent elective laparoscopic surgery at Misan governmental teaching hospital in the period between September 2014 and May 2017. Results: the incidence of hernia was 0.4 % in comparison to 9.25% with the other access port insertion (P value <0.05). Major bleeding and visceral injuries were not reported and bleeding was related to trocar site in (0.4%). Other complications were simple, not life threatened and managed conservatively. Conclusion: transverse stay sutures to the anterior rectus sheath are simple, safe and reduce the initial port access complications.
Keywords
Stay sutures; port access; initial port complications

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