The disposable abdominal wall stapler kit is an innovative surgical instrument developed and produced by Bonnie Medical Device Technology(Changzhou)Co.,Ltd., which integrates the functions of puncture and fascia suturing.
As a minimally invasive surgical technique, laparoscopic surgery has been widely used in clinical practice. However, in laparoscopic surgery, the incidence of puncture complications is high, including puncture hernia, infection, abdominal wall bleeding, hematoma and necrotizing fasciitis. This article will explore the mechanism of these complications and introduce some prevention and solutions to improve the safety of laparoscopic surgery and reduce the incidence of postoperative complications. The use of disposable abdominal wall stapler kits can reduce the incidence of incisional hernia and incision dehiscence, and improve the quality and prognosis of laparoscopic surgery.
Since Fear first reported Trocar site hernia (TSH) after gynecological laparoscopy in 1968, there have been more and more reports of similar cases. The safety issues of laparoscopic treatment have attracted people's attention. The incidence of puncture hernia is gradually increasing, with an incidence of about 1% to 6%, and the hernia contents are usually incarcerated small intestine or greater omentum or Richter’s hernia. Most of them occur in puncture holes of 10mm or more, and a few occur in puncture holes of 5mm. Generally speaking, the incidence of puncture hernia after surgical laparoscopic colorectal surgery is high, up to 7%.
TSH occurs due to the presence of a defect in the abdominal wall at the puncture site, and the tissue or organs in the abdominal cavity protrude through the defect into the subcutaneous space. TSH focuses on prevention and cannot heal itself. Surgical treatment is the only effective means. There is only a trend of continued enlargement and affecting the patient's daily life and work, reducing the patient's quality of life, and even incarceration.
As early as 2000, foreign scholars such as Duron published relevant literature proposing that "closing the puncture fascia can effectively prevent or reduce the incidence of puncture complications, but sometimes closing the fascia is very difficult, especially for obese patients."
References：(Duron JJ,Hay JM,Msika S,et al. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery:a retrospective multicenter study.Arch Surg, 2000,135: 208-212.)
In addition, some scholars emphasize that the fascia needs to be completely sutured to reduce the incidence of puncture hole complications.
References：(Eid GM,Collins J.Application of a trocar wound closure system designed for laparoscopic procedures in morbidly obese patients.Obes Surg,2005,15: 871-873.)
