S-open Technique: A Novel, Sutureless, Open Laparoscopic Entry Technique

Safe abdominal entry remains a critical step in laparoscopic surgery, particularly in patients with a history of prior abdominal procedures. Traditional techniques, such as the Hasson open method, have been widely used, but they may require fascial suturing and carry a risk of entry-related complications. This article evaluates the safety, feasibility, and outcomes of a new sutureless open laparoscopic entry technique developed and applied in our hospital. A total of 76 patients underwent laparoscopic surgery using the proposed sutureless entry technique. Patients were classified based on their body mass index and the number of previous abdominal surgeries. Entry feasibility, complication rates, and postoperative outcomes were assessed. Entry was successful in all patients. Complications were rare and primarily classified as Clavien-Dindo grade I. No cases of trocar-site hernia were recorded during a follow-up period ranging from four months to two years. The technique was applied effectively across three surgical specialties: urology, gynecology, and visceral surgery. This novel sutureless open laparoscopic entry technique is a safe, simple, and reproducible alternative to traditional open methods. It can be especially useful in patients with previous abdominal surgery and may contribute to reducing operative time and postoperative complications.