Laparoscopy is a minimally invasive technique that uses small incisions (∼5 to 15 mm) to replace surgeries traditionally performed through large abdominal incisions. Insufficient closure of these incisions can lead to post-operative complications. Current methods for closure are technically challenging, time-intensive, and require ancillary devices. To streamline laparoscopic procedures, we introduce a multifunctional device that serves both as a trocar—a channel through which laparoscopic procedures can be performed, and as a fascial closure device. The device features rotation-actuated wedges at the distal end that allow better retraction of the abdominal wall both during surgery and for controlled fascial closure. The device has the potential to simplify incision closure, while simultaneously enhancing overall safety.
There are challenges and risks unique to laparoscopy. For example, incisions greater than 5 to 8 mm need to be closed to reduce the risk of complications such as hernias, bowel strangulations, and infections (Lajer et al.,...