fascial closure
Pronunciation: FASH-al
Surgical repair of the fascia layer, critical for preventing hernia formation at port sites.
Full Definition
Fascial closure refers to the surgical repair of the fascial layer (fibrous connective tissue) at the completion of minimally invasive procedures. In laparoscopic surgery, fascial closure is particularly important for trocar sites larger than 10mm to prevent port-site hernias. The closure involves suturing the fascial defect created by trocar insertion, ensuring adequate tissue approximation without excessive tension. Proper fascial closure technique reduces the risk of post-operative complications including hernia formation and wound dehiscence.
Usage
Usage note: Hyphenate when used as a compound modifier (fascial-closure technique); 'fascial' derives from 'fascia,' not 'facial.'
In Context
- "Fascial closure of the 12mm port site was performed with interrupted sutures." — Operative report conclusion
- "Inadequate fascial closure led to port-site hernia development six weeks postoperatively." — Complication review