Verschluss bei laparoskopischer Chirurgie: Warum Klammern und Stiche selten nötig sind

Laparoscopic (minimally invasive) surgery typically does not require skin staples or sutures for port-site closure. Instead, surgeons use:

• Electrocautery / vessel sealing devices – Coagulate small vessels and seal tissue planes internally.
• Dermabond / tissue adhesive – For 5–10 mm port sites; provides waterproof, cosmetic closure.
• Steri-Strips – Reinforce adhesive or close very small punctures.
• Single subcuticular absorbable suture – Occasionally for 10–12 mm ports (camera port).

Benefits: less postoperative pain, reduced scarring, lower wound infection risk, faster return to activity. Larger specimen retrieval sites (e.g., for colectomy) may require a slightly longer incision closed with subcuticular suture.