%0 Journal Article
%T A novel alternative to suture passer for closure of fascial defect in laparoscopic ventral hernia repair. A case report.
%A Lai JH
%A Loo GH
%A Shuhaili MAB
%A Ritza Kosai N
%J Int J Surg Case Rep
%V 60
%N 0
%D 2019
%M 31261047
暂无%R 10.1016/j.ijscr.2019.06.045
%X <B>BACKGROUND: </B>Primary fascial closure can be a challenging step during a laparoscopic intraperitoneal onlay mesh (IPOM) repair for a ventral hernia.<BR><B>METHODS: </B>We present here a novel technique of using intravenous (IV) cannula as an alternative to suture passer for fascial closure during laparoscopic IPOM repair for a 59-year-old patient with an incisional ventral hernia. The placement of non-absorbable sutures for fascial closure was done with the help of a 14 gauge IV cannula instead of a transfascial suture passer. The rest of the procedural steps were the same as a standard laparoscopic IPOM repair. The patient's post-operative recovery was uneventful.<BR><B>CONCLUSIONS: </B>Primary fascial closure during a laparoscopic IPOM hernia repair can be done either by intracorporeal or extracorporeal techniques, using interrupted or continuous sutures. We propose a novel alternative to suture passer in primary fascial closure. IV cannulas are widely available in hospital settings. The advantage of using an IV cannula instead of a suture passer is that they are widely available. Its single-use also eliminates the risk of transmissible diseases, and as it has a smaller diameter than suture passer, it requires a lower insertion force for successful placement.<BR><B>CONCLUSIONS: </B>An IV cannula may be used as a more economical alternative to a transfascial suture passer. This technique is easily reproducible and does not violate the principles of primary fascial defect closure in laparoscopic ventral hernia repair.