Port Site Closure versus Non-Closure in Morbidly Obese Patients who Underwent Laparoscopic Bariatric Surgery. | ||
| Ain Shams Journal of Surgery | ||
| Volume 18, Issue 3, July 2025, Pages 238-242 PDF (383 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2025.391794.1207 | ||
| Authors | ||
| Amr Madyan* ; Mohamed Khidr; Mohammad Hossam; Mohamed Abdulrazek | ||
| Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||
| Abstract | ||
| Introduction: Laparoscopic bariatric surgery (LBS) has established itself as the premier method for handling morbid obesity, but optimal management of port sites remains debated. This study aimed to compare outcomes between port site closure and non-closure approaches in morbidly obese people undergoing LBS. Patients and methods: One hundred individuals aged 18-65 years who had LBS were included in this retrospective analysis. Patients were divided into two equal groups: Group C (port site closure using absorbable sutures) and group N (only skin closure). Results: Operative time and average pain scores in 1st 24 hours were significantly higher in Group C (89.4±20.69 vs 80.7±19.06 minutes, p=0.031 and median 3 vs 2, p<0.001, respectively). Wound healing and recovery time were significantly faster in Group C (1.44±0.5 vs 2.02±0.94 weeks, p<0.001 and 3.06±0.79 vs 3.54±1.13 weeks, p=0.061, respectively). Complications were comparable between groups, with no conversions in either group. Conclusion: Port site closure in morbidly obese people undergoing LBS increases operative time and immediate postoperative pain but significantly enhances wound healing and accelerates recovery without raising complication rates. | ||
| Keywords | ||
| Bariatric surgery; laparoscopy; port site closure; morbid obesity; complications | ||
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