The clinical efficacy of three methods for closing incisions in laparoscopic cholecystectomy

Objective: To investigate the value of three methods for closing incisions in laparoscopic cholecystectomy( LC),and to summarize the prevention measures for incisional hernia after LC. Methods: The clinical data of 421 patients who underwent LC from Jan. 2008 to Oct. 2013 were retrospectively analyzed. Whole skin suture,the skin-subcutaneous suture and full abdominal wall layer suture were used to close the incisions respectively. Results: Incisional hernia occurred after using whole skin suture and the skin-subcutaneous suture,which were 7 cases( 7. 1%) and 4 cases( 1. 5%) respectively. While full abdominal wall layer suture didn't result in the hernia. Conclusions: The hernias after LC are most commonly observed in whole skin suture,followed by the skin-subcutaneous suture. And full abdominal wall layer suture could prevent the occurrence of hernia. The key to prevent incisional hernia is to close the defect of the incision in all abdominal wall layers.