Fascial closure
Surgical repair of the fascial layer at trocar insertion sites to prevent hernia formation after laparoscopic surgery.
Full Definition
The surgical technique of suturing the fascial defect created by trocar insertion during laparoscopic procedures. Fascial closure is typically recommended for trocar sites ≥10mm in diameter to prevent incisional hernia formation. The procedure involves identifying the fascial edges, placing sutures through the fascia under direct visualization or using fascial closure devices, and ensuring adequate approximation without excessive tension. Proper fascial closure is essential for preventing port site hernias, which can occur weeks to years after surgery and may lead to bowel incarceration or strangulation.
Usage
Usage note: Document specific technique used and size of ports closed. Essential for preventing complications.
In Context
- "Fascial closure was performed at all 12mm port sites using 0-Vicryl suture." — Operative note conclusion
- "The patient developed a port site hernia due to inadequate fascial closure." — Complication report