Wound Closure

A drain should be placed if there is concern about excessive ooze following extensive dissection for removal of a large kidney or if leakage of potentially infected material from the specimen has occurred. The extended trocar site is closed in two layers using continuous 0 Polydiaxone, while the other 12-mm port sites can be closed with 0 Vicryl on a J needle. Five-millimeter port sites do not need muscle closure, nor do those placed on the costal margin. Skin is closed with clips or subcuticular suture, and local anesthetic (bupivacaine 0.5%) is injected into the port sites.

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