Design: Video demonstration on how to do it
Setting: It's already well established the benefits of fascial closure of portals greater than 10mm¹. It reduces the risks of port site hernia, dehiscence, and adhesions².
The fascia closure is usually simply done, using just Kocher graspers or a forceps and a needle holder.
But in some conditions, such as obese patients, previous laparoscopy surgery, or even the presence of hernia mesh, other equipment and technique might be very helpful.
Classically the Berci Forceps is used, but the medical instruments industry has created an assortment of other options for that use.
Nevertheless, these equipments are not always available, especially if it’s not required in advance.
Patients or Participants: that underwent laparoscopy surgery with portals greater than 10mm
Interventions: Veress needle fascial closure
Measurements and Main Results: Direct view fascia closure
Conclusion: Teach a simple technique that can be reproduced in almost every hospital, with minimal equipment, that enables a safe, with direct vision, closure of the fascia, which reduces the risk of hernia, adhesion and dehiscence.
Franco, B*. Gynecological Endoscopy, Fernandes Figueira Institute, Rio de Janeiro, Brazil, Epprecht, JP*. Ircad-Rio, Rio de Janeiro, Rio de Janeiro, Brazil