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This paper provides an overview of existing techniques of suturing and closure in intra-abdominal laparoscopic surgery, outlines the complications associated with port-site closure, and presents a novel technique designed to address those problems by using a sterile absorbable gelatin sponge with strong hemostatic properties (Cutanplast\u00ae Plug).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and Methods<\/jats:title>\n                <jats:p>In this prospective study, 83 successive obese patients undergoing laparoscopic bariatric surgery (sleeve gastrectomy, sleeve plication, gastric bypass), using a standardized skin incision for trocar insertion, had port-site closure using the Cutanplast plug procedure (<jats:italic>n<\/jats:italic>\u2009=\u200942) or conventional suturing techniques (<jats:italic>n<\/jats:italic>\u2009=\u200941).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The incidence of early complications was lower in the Cutanplast group; no patients had infections compared with 9.8% of Controls (<jats:italic>p<\/jats:italic>\u2009=\u20090.055) and no bleeding, ecchymosis, erythema, or redness occurred. Late complications during 2\u00a0years of follow-up were significantly lower in the Cutanplast group (0 vs. 7 hernias, <jats:italic>p<\/jats:italic>\u2009=\u20090.005). Most patients in the Cutanplast group required only 1\u20132 procedures (78.6% vs. 58.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.049), whereas 41.5% of controls required 3 procedures. In total, 82 trocars were used in the Cutanplast group versus 99 in controls. The single-step Cutanplast plug technique reduced operating times compared with two-step suturing techniques.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Closure of port-site trocar incisions using Cutanplast plug is fast, efficient, with potential to reduce operating times and decrease bleeding and herniation from port-site trocars insertion, particularly in obese patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s11695-022-06238-y","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T19:02:55Z","timestamp":1662577375000},"page":"3796-3806","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Safety and Efficacy of Trocar Port-Site Closure Using a Biological Plug Closure in Laparoscopic Bariatric Surgery: a Prospective Study"],"prefix":"10.1007","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5377-4996","authenticated-orcid":false,"given":"Youssef","family":"Andraos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"issue":"3","key":"6238_CR1","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1007\/s11695-015-1779-3","volume":"26","author":"UK Coblijn","year":"2016","unstructured":"Coblijn UK, de Raaff CA, van Wagensveld BA, et al. 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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Informed consent was obtained from all individual participants included in the study. All operations were performed after obtaining informed consent from each patient.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent to Participate"}}]}}