The “Flip-Flap” Technique for Laparoscopic Port-Site Closure
The laparoscopic approach has changed the face of surgical care offered to patients. Almost all surgical procedures across specialties are now undertaken by the laparoscopic approach. Closure of port sites to prevent trocar-site hernias (TSHs) forms an integral part of the laparoscopic procedure. TSH is an area of preventable surgical morbidity.

Researchers report a technique that is easily applicable, simple, safe, and highly cost-effective. It requires no additional instruments or retractors, is easy to learn, and has a very favorable safety profile.

This prospective case series enrolled a total of 454 port-site closures in 255 patients undergoing different laparoscopic procedures over a period of 2 years. The intraperitoneal tissue forceps were used in the reverse direction to lift the fascia up and a right-angled retractor was used to retract back the skin and subcutaneous tissue. The port-site closure is done under the vision and no adverse events were reported.

- No intraoperative incidents were noted. There is no requirement for any specialized instruments or retractors.

- No additional tissue trauma or dissection is required. There is no extension of operative time.

- The technique is simple to learn and easy to teach. No bowel injuries or TSHs were reported during a follow-up of 26 months.

In particular, the described technique is easy, simple, cost-effective, and has a good safety profile.

The Surgery Journal