This educational video demonstrates the technique of port closure using a Veress needle at World Laparoscopy Hospital. The video explains the step-by-step method of safely closing laparoscopic ports to prevent port-site hernia and related complications. Expert surgeons at World Laparoscopy Hospital showcase the correct positioning, needle handling, and suturing technique to ensure secure fascial closure.

A new method of closing laparoscopy port incisions uses a modified Veress needle was developed by Dr R K Mishra in year 2002. The device easily closes the fascia, muscle and peritoneum, which prevent incisional hernias at these laparoscopic ports sites. It adds lnot any cost to laparoscopic procedures.

Port Closure by Veress Needle at World Laparoscopy Hospital

Port closure is a critical final step in laparoscopic surgery, ensuring patient safety and preventing postoperative complications such as port-site hernia, bleeding, and infection. At World Laparoscopy Hospital (WLH), a globally recognized center for minimal access surgery training, innovative and safe techniques are emphasized to enhance surgical outcomes. One such efficient and widely taught method is port closure using the Veress needle.

Importance of Proper Port Closure

In laparoscopic procedures, trocar ports—especially those measuring 10 mm or larger—create fascial defects that require meticulous closure. Failure to properly close these defects can result in complications such as:

• Port-site hernia

• Omental or bowel entrapment

• Postoperative pain

• Surgical site infection

At WLH, surgeons are trained to treat port closure with the same precision as the primary surgical procedure itself. The Veress needle technique offers a simple, cost-effective, and reliable solution.

The Veress Needle Technique

The Veress needle, traditionally used for creating pneumoperitoneum, can also be skillfully utilized for fascial closure. The technique involves the following key steps:

1. After completion of the procedure, pneumoperitoneum is reduced.

2. A suture is loaded through the Veress needle.

3. The needle is inserted percutaneously adjacent to the port site.

4. Under laparoscopic visualization, the needle passes through the fascial layer.

5. The suture is retrieved from the opposite side of the port defect.

6. The fascial defect is securely tied externally, ensuring complete closure.

This technique allows accurate closure under direct vision, minimizing the risk of injury to intra-abdominal structures.

Advantages of Veress Needle Port Closure

At World Laparoscopy Hospital, this method is favored for several reasons:

• Cost-effective – No need for expensive port closure devices

• Minimally invasive – Small additional puncture

• Safe and precise – Performed under laparoscopic guidance

• Time-saving – Quick execution with proper training

• Reproducible – Easily taught and adopted by surgeons worldwide

The method reflects WLH’s philosophy of combining innovation with practicality.

Training and Skill Development at WLH

World Laparoscopy Hospital emphasizes hands-on training, live demonstrations, and supervised practice in port closure techniques. Surgeons and gynecologists attending courses at WLH learn:

• Anatomy of abdominal wall layers

• Identification of fascial defects

• Techniques to avoid vascular and visceral injury

• Strategies to prevent port-site hernia

The institution’s structured teaching ensures that even seemingly minor steps like port closure are performed with excellence and confidence.

Conclusion

Port closure by Veress needle is a simple yet highly effective technique that enhances patient safety in laparoscopic surgery. At World Laparoscopy Hospital, this method is systematically taught and practiced as part of comprehensive minimal access surgery training. By focusing on precision, safety, and innovation, WLH continues to uphold its commitment to advancing laparoscopic surgery standards worldwide.