Comparative Study on the Improvement of Suture for Laparoscopic Trocar Incision With a Length ≥ 10 mm
10.3969/j.issn.1009-6604.2024.08.006
- VernacularTitle:腹腔镜下≥10 mm trocar切口缝合术改进的比较研究
- Author:
Hua SONG
1
;
Baoyu ZOU
;
Chuanying ZHANG
Author Information
1. 吉林省前卫医院妇产科,长春 130012
- Keywords:
Gynecological surgery;
Laparoscopy;
Suture;
Incision complications
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(8):558-562
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy between laparoscopic suture and extraperitoneal suture for laparoscopic trocar incision with a length≥10 mm.Methods A total of 138 patients with gynecological surgery under laparoscopy admitted to our hospital from March 2017 to March 2023 were divided into two groups according to their admission time:53 cases in the traditional group(after laparoscopic surgery,the skin and subcutaneous tissue were sutured outside the peritoneum to close the trocar incision 10-12 mm in length)from March 2017 to March 2020,and 85 cases in the improved group(the fascia and peritoneum were sutured intraperitoneally under laparoscopy to close the trocar incision 10-12 mm in length)from April 2020 to March 2023.The postoperative incision complications were compared between the two groups.Results There was 1 case of postoperative incision liquefaction in the improved group,without other complications.There were 1 case of postoperative incision bleeding,2 cases of incision infection,1 case of incision liquefaction,1 case of incision dehiscence,and 1 case of incision hernia in the traditional group.The incidence of postoperative incision complications in the improved group was 1.2％(1/85),significantly lower than that in the traditional group[11.3％(6/53);x2=5.029,P=0.025].Conclusion After gynecological laparoscopic surgery,intra-abdominal suture of incision≥10 mm in length significantly reduces the incidence of postoperative incision complications,but the operation is difficult to perform and requires high suturing techniques.
