Step 01

Trocar inserted into port site opening to depth of markings (observed from telescope in another port).

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Step 02

Needle carrying the suture pushed through trocar conduit, muscle tissue and into the abdominal cavity.

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Step 03

Needle withdrawn to create loop to be grabbed by forceps from a different port.

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Step 04

One end of suture pulled through into abdominal cavity with forceps.

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Step 05

Needle withdrawn from trocar.

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Step 06

Trocar pulled outwards to reveal lower opening of conduit so that suture can be removed from conduit.

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Step 07

Trocar rotated about 180° (or smaller angles as appropriate for location of suture around port opening) and pushed back inwards to level of markings.

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Step 08

Needle reinserted into trocar conduit, through muscle tissue and into abdominal cavity on other side of opening.
Suture grasped by suture carrying needle.

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Step 09

Needle withdrawn through tissues and trocar conduit, bringing suture with it to surface.

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Step 10

Trocar pulled outwards to reveal lower conduit opening again so that suture can be removed from trocar conduit.

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Step 11

Suture safely snugged up around the trocar watched by the intra abdominal telescope. (For multiple individual or continuous sutures, trocar would be kept in until all sutures in place, with each suture tightened and snugged up against sides).

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Step 12

Both ends of suture pulled to tighten loop against the peritoneal lining and draw muscle tissue together, maintaining the pneumoperitoneum. Suture site can be inspected with the telescope inside the abdomen. Suture tied against outside of muscle layer.

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Notes

Plan view of trocar rotations used to close a port site using three single sutures.

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Notes

Muscle tissues drawn together by tying individual sutures after removal of the trocar.

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