Figure 2
From: Incisional hernia after 2498 single-port access (SPA) gynecologic surgery over a 10-year period
Demonstration of the closing methods: (a) the wound retractor is pulled towards the right side of the photo while the surgeon identifies the left upper side of the fascia (white arrow), (b) the wound retractor is pulled towards the left side and the surgeon throws a suture with clear visualization of the fascial layer of the opposite side (white arrow), (c) four interrupted sutures are completed without knots tied (S1 through S4 from cranial to caudal), (d) knots are tied sequentially from outer side of the incision, (e) tied suture materials are recognized (left: cranial, right: caudal), (f) after approximating subcutaneous tissue, skin is closed with absorbable materials by subcuticular suture.
