Abdominal fascia closure techniques during laparoscopy

Abstract

Due to its decreased recovery time and increased patient satisfaction, laparoscopic surgery has witnessed an exponential rise in the last decade. In fact, the indications for laparoscopic surgery are currently numerous and involve multiple disciplines, including gastro-intestinal and gynecological surgery. With this boom, there is much focus on decreasing the rate of complications due to laparoscopy. This includes, but is not limited to, an increased interest in decreasing the risk of port-site herniation by ensuring proper closure of the abdominal wall at the site of port-insertion. This text will review the anatomy of the abdominal wall, describe the different open and laparoscopic techniques developed to close the defects in the abdominal wall post-laparoscopic surgery, list the advantages and disadvantages of these described techniques, and offer a brief summary of recommendations to surgeons for abdominal fascia closure post-laparoscopy. © 2019, Universal Medical Press. All rights reserved.