The challenge of trocar-site fascia closure in laparoscopic surgery

​Laparoscopic (minimally invasive) surgery uses small abdominal incisions to introduce trocars and surgical instruments.  While this approach offers significant benefits for patients, reliable closure of the trocar-site fascia remains technically challenging.  Limited access, restricted visibility, and the elasticity of fascia tissue can make closure difficult, potentially prolonging procedure time and increasing the risk of postoperative complications.

Although laparoscopic surgery is associated with lower wound complication rates compared to open procedures, trocar-site issues such as herniation, bleeding, and infection continue to represent clinically relevant risks.  Patient-related factors such as obesity and comorbidities (e.g., diabetes and hypertension) can further increase the likelihood of inadequate fascia closure. This highlights the need for a controlled, reliable, and reproducible closure technique.

A Fully Integrated Suturing Solution

Mediclose is a sterile single-use device with integrated needles and absorbable suture, designed to make trocar-site fascia closure in laparoscopic surgery: faster, safer and more reliable.

Unlike traditional techniques that close fascia from the outside inwards, Mediclose closes the incisions inside outwards which keeps the needles’ points away from internal organs.