CLOCAR: a Trocar That Aids in Complete Closure of Port Site Defects

Abstract

The study was focused on the proper visualization and then closure of port site defects (>= 10 mm) with a new trocar device called CLOCAR. A total of 60 patients were enrolled in the study after getting the institutional review board approval. The majority of surgical procedures were related to colorectal malignancies, even though there were a few benign surgeries. Using the CLOCAR device, port sites (>= 10 mm) were closed after proper insertion of sutures through the fascia under vision. Photographs of the suture placements were captured and saved. Follow-up at 6 months and 1 year was done of the patients. The median age was 60 years ranging from 22 to 88. The mean +/- standard deviation of BMI was 24.05 +/- 4.68. Majority of surgical procedures were Lt. sided colon surgery (n = 37, 61.7%) followed by Rt. sided colon surgery (n= 14, 23.3%), and others (n = 9, 15%). Follow-up of the patients at 6 months and 1 year was done. There were no features of herniation, infection, or hematoma during those follow-ups. CLOCAR is a device that can be helpful for adequate and complete closure of port site defects which in turn can prevent the formation of port site incisional hernias.