With regard to the indications for closure of the hernia orifice, we consider that if, on the basis of intraoperative observation, the hernia orifice appears small and there is a possibility that incarceration of the small bowel may recur, the hernia orifice should be closed.
In addition, 15 patients (79%) underwent closure of the hernia orifice for prevention of hernia recurrence.
Secure endoscopic closure of transgastric natural orifice transluminal endoscopic surgery (NOTES) access is of paramount importance.
In treating adult Bochdalek hernia, it is important to perform surgical closure of the hernia orifice and reduction of the prolapsed organs.
Gastric leak testing after natural orifice transluminal endoscopic surgery (NOTES) gastrotomy closure may help reduce the risk of leaks after transgastric procedures.
Because the incarcerated portion of the small bowel was not necrotized, herniation repair was performed by removing the incarcerated small bowel from the intersigmoid fossa without closure of the hernia orifice.
These procedures use the same medical device, which is a shape memory nitinol clip that provides dynamic closure of the fistula orifice.
Safe and efficient gastrotomy creation and closure is pivotal for natural orifice transluminal endoscopic surgery (NOTES).
The success of natural orifice surgery depends on a reliable, secure closure of the opening in the gut.
The research in closure techniques for enterotomies in natural orifice surgery has expanded its role in the management of iatrogenic perforations.
Transluminal access site closure remains a major challenge in natural orifice transluminal endoscopic surgery (NOTES).
