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Research ArticleOriginal Article
Open Access

Surgicel plug technique versus endoclose technique for port-site closure post minimally invasive (robotic and laparoscopic) surgeries

Retrospective cohort study

Maher S. Moazin, Abdulrahman M. Alsuwailim, Mosab M. Botaiban, Abdulaziz Y. Alabdulrahman, Abdullah Alfakhri, Naif Aldhaam,, Muhammad Abukhater, Arjmand Reyaz and Mohammed Y. Alessa
Saudi Medical Journal April 2023, 44 (4) 368-372; DOI: https://doi.org/10.15537/smj.2023.44.4.20220899
Maher S. Moazin
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD, FEBU
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Abdulrahman M. Alsuwailim
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MBBS
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Mosab M. Botaiban
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MBBS
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  • For correspondence: [email protected]
Abdulaziz Y. Alabdulrahman
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MBBS
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Abdullah Alfakhri
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD
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Naif Aldhaam,
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD
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Muhammad Abukhater
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD
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Arjmand Reyaz
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD
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Mohammed Y. Alessa
From the Department of Urology (Moazin, Alfakhri, Aldhaam), and form the General Surgery Department (Abukhater, Reyaz), King Fahad Medical City, Riyadh; from the Urology Department (Alsuwailim), Almoosa Specialist Hospital; from the Internal Medicine Department (Botaiban, Alabdulrahman), and from the Surgery Department (Alessa), King Faisal University, Al Hasa, Kingdom of Saudi Arabia.
MD
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1

    - Basic demographic characteristics of the patients (N=397).

    Study datan (%)
    Age group in years
    <18 years30 (07.6)
    18–30 years89 (22.4)
    31–40 years103 (25.9)
    41–50 years75 (18.9)
    51–60 years55 (13.9)
    >60 years45 (11.3)
    Gender
    Male165 (41.6)
    Female232 (58.4)
    Body mass index
    Underweight13 (03.3)
    Normal51 (12.8)
    Overweight65 (16.4)
    Obese268 (67.5)
    • View popup
    Table 2

    - Surgical history, chronic diseases and complication of the patients after surgery (N=397).

    Variablesn (%)
    Follow up results
    No complication388 (97.7)
    Hernia04 (01.0)
    Infection02 (0.5)
    Patients had previous abdominal surgery
    Yes99 (24.9)
    No298 (75.1)
    Diabetes
    Yes107 (27.0)
    No290 (73.0)
    Hypertension
    Yes107 (27.0)
    No290 (73.0)
    Cancer
    Yes18 (04.5)
    No379 (95.5)
    Coagulopathy
    Yes04 (01.0)
    No393 (99.0)
    Surgical technique
    Surgical plug technique176 (44.3)
    Endoclose technique221 (55.7)
    • View popup
    Table 3

    - Comparison between Surgicel plug and Endoclose techniques in regards to the basic demographic and other related characteristics of the patients (N=397).

    FactorSurgical techniqueP-value*
    Surgicel plug (n=176)Endoclose (n=221)
    Age group in years
    ≤40 years82 (46.6)140 (63.3)0.001**
    >40 years94 (53.4)81 (36.7)
    Gender
    Male85 (48.3)79 (35.7)0.012 **
    Female91 (51.7)142 (64.3)
    Body mass index level
    Normal or underweight15 (08.5)49 (22.2)<0.001 **
    Overweight or obese161 (91.5)172 (77.8)
    Previous abdominal surgery
    Yes26 (14.8)73 (33.0)<0.001 **
    No150 (85.2)148 (67.0)
    Diabetes
    Yes39 (22.2)68 (30.8)0.055
    No137 (77.8)153 (69.2)
    Hypertension
    Yes46 (26.1)61 (27.6)0.630
    No130 (73.9)159 (71.9)
    Cancer
    Yes15 (08.5)03 (01.4)0.001 **
    No161 (91.5)218 (98.6)
    Follow up complication
    No complication170 (96.6)218 (98.6)0.064
    Port-site hernia04 (02.3)0
    Wound infection002 (0.90%)

    Values are presented as number and percentages (%). *P-value has been calculated using Chi-square test. **Significant at p<0.05 level.

      • View popup
      Table 4

      - Associated risk factors of complications.

      FactorSurgicel plugEndocloseCoagulopathyDiabetesHypertensionPrevious abdominal surgeryCancer
      Hernia4 (02.3)001 (25.0)02 (50.0)1 (Pyeloplasty)0
      Infection002 (0.9)00000
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    Saudi Medical Journal: 44 (4)
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    Vol. 44, Issue 4
    1 Apr 2023
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    Surgicel plug technique versus endoclose technique for port-site closure post minimally invasive (robotic and laparoscopic) surgeries
    Maher S. Moazin, Abdulrahman M. Alsuwailim, Mosab M. Botaiban, Abdulaziz Y. Alabdulrahman, Abdullah Alfakhri, Naif Aldhaam,, Muhammad Abukhater, Arjmand Reyaz, Mohammed Y. Alessa
    Saudi Medical Journal Apr 2023, 44 (4) 368-372; DOI: 10.15537/smj.2023.44.4.20220899

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    Surgicel plug technique versus endoclose technique for port-site closure post minimally invasive (robotic and laparoscopic) surgeries
    Maher S. Moazin, Abdulrahman M. Alsuwailim, Mosab M. Botaiban, Abdulaziz Y. Alabdulrahman, Abdullah Alfakhri, Naif Aldhaam,, Muhammad Abukhater, Arjmand Reyaz, Mohammed Y. Alessa
    Saudi Medical Journal Apr 2023, 44 (4) 368-372; DOI: 10.15537/smj.2023.44.4.20220899
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    Keywords

    • minimally invasive
    • port site
    • laparoscopic
    • robotic
    • Surgicel plug
    • endoclose

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