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13) Port Site Closure

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Summary

This on-demand teaching session will focus on teaching medical professionals how to perform a port site closure, also known as a simple buried suture. Participants will gain hands-on practice and insight into the fundamentals of laproscopic and robotic surgeries while learning the techniques used in port site closure. Learning the skill to close port sites is illustrated using a larger incision for training purposes.

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Learning objectives

Learning Objectives:

  1. Identify and describe the components of a port site closure procedure.

  2. Explain the correct orientation of the needle for a forehand throw.

  3. Demonstrate the ability to make a 5mm trocar incision and insert a suture needle into the dermis.

  4. Utilize pickups to help guide the needle during entry and exit.

  5. Successfully complete the port site closure by tying and cutting the appropriate tails.

Generated by MedBot

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Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Today, we are going to learn how to perform a port site closure, also known as a simple buried suture for this. You will need a needle driver pickups, suture, scissors, suture, and you're behind the knife suturing board. As laproscopic and robotic surgeries are commonly performed. Many trainees are asked and provided the opportunity to close the port sites. At the end of the case, I'm going to demonstrate on a larger incision for training purposes. But remember, you may be asked to perform the future, too close. A small five millimeter trocar site for the future. You're going to start by loading your needle into your needle drivers in the orientation. For a forehand throw. We're going to lift the skin and insert the needle in the dermis and rotate our needle until the tip of the needle exits at the epidermal dermal junction. You can help guide the exit of your needle using your pickups. So the needle doesn't exit above or below this junction at this point. We're going to enter into the epidermal dermal junction at the same level that we came out. But on the opposite side, you can see that my needle is still in the orientation for a forehand throw but is now pointed downwards, use your pickups to elevate the skin edge enter in just below the epidermis and rotate your needle until the tip comes out of the dermis. At this point, both of your tales should be coming out of the dermis deep in the incision. You should also make sure that the tails are both on the correct side of the not you can now instrument I this not making sure to pull your tales in line with the incision to allow for close approximation. Once you cut your tales, you've completed the port site closure.