Madany closure: a novel technique for fascial closure in laparoscopic surgery

Abstract

Background Laparoscopic surgery is now the accepted method of choice for practically all abdominal procedures. A number of trocar site closure techniques have been developed, but many of them are unaffordable and/or difficult to employ. Patients and methods The objective of this prospective interventional study is to assess the duration required to close the trocar site, the incidence of hemorrhage or other postoperative problems, and the safety and effectiveness of a novel fascial closure technique (the Madany closure). Patients who were eligible for laparoscopic cholecystectomy at the Aswan University Hospital’s General Surgery Department were included. Results One hundred and thirty patients were included in our study. Most of the participants were females, representing 93.08% of patients. The mean age of participants was 40.07±10.02 years, and the median (interquartile range) total time for the complete closure of the port site was 83.5 s (44.75 s). After the follow-up period of 6 months, no patient developed a trocar-site hernia. Conclusion The Madany closure technique provides a safe, fast, and effective technique for the closure of laparoscopic port sites.