Trocar site closure: a simple, inexpensive technique

Abstract

Trocar site complications continue to plague laparoscopic surgeons. Described in this report is an inexpensive simple technique to close all layers of the trocar site defect.

Figure 1.

A loop of monofilament is placed alongside a trocar site. The subcutaneous fat is pushed away from the trocar so that the needle is passed only through myofascial layers.

Figure 2.

After a second strand of monofilament is passed using the needle technique, it is grasped with an endoscopic instrument which has been passed through the previously placed loop. The strand of monofilament is then pulled through the loop.

Figure 3.

The loop is then pulled out, bringing with it the strand of suture.

Figure 4.

The knot is tied above the fascia closing the defect.