Background: Many techniques and devices are used to close the surgical ports post minimally invasive procedures. However, they have limitations and may entail complications such as hernia, infection and dehiscence. This paper proposes novel plugging technique for port-site closure using a hemostatic agent to overcome these limitations and lower the complication rate.Objective: To assess the safety and efficacy of a novel Surgicel ® plug technique for portsite closure post minimally invasive urological surgeries.Methods: A retrospective study conducted at King Fahad Medical City/Riyadh/Saudi Arabia with 114 sample size. Patients included are those who underwent robotic assisted urological surgery (from January 2010 to December 2013) in which their port-sites were closed by the novel Surgicel ® plug technique with a minimum of 5-years follow-up period. All data were statistically analyzed using SPSS (version 23). Descriptive variables were presented as numbers and percentages.Patient demographics, type of surgery, and follow-up results.Results: A total of 114 patients were collected. 50 were males with a mean age of 41.9 (SD=18.2) and 64 were females with a mean age of 39.2 (SD=18.3). The male-female ratio is 1:1.2. In total, two cases (1.7%) developed port-site non-infectious discharge during radical nephrectomy and pyeloplasty, and one case (0.8%) developed port-site hernia during ureteric reimplantation. 111 cases (97.3%) had no port-site complications. Conclusion:This study showed that the novel plugging technique of port-site closure post minimally invasive urological procedures using a hemostatic agent (Surgicel ® ) is feasible, safe, easy, and effective in the group of patients studiedand could be considered as a newapproachfor trocar sites closure.

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Objectives: To determine the prevalence of shunt malfunction without change in ventricle size in imaging modalities, and its clinical presentation.

‫اإلصابة‬ ‫كان‬ ‫بينما‬ .)0%( ET ‫من‬ )2.3%( ‫اجلراحية‬ ‫السدادة‬ ‫تقنية‬ ‫عند‬ ‫إحصائي‬ ‫فرق‬ ‫يظهر‬ ‫لم‬ ‫ولكن‬ ،SPT ‫من‬ )0.9%( ET ‫عند‬ ‫أكثر‬ ‫بالعدوى‬ .)p=0.064( ‫مهم‬ ‫املرتبطة‬ ‫املضاعفات‬ ‫حيث‬ ‫من‬ SPT ‫و‬ ET ‫بني‬ ‫كبير‬ ‫فرق‬ ‫يوجد‬ ‫ال‬ ‫اخلالصة:‬ ‫املنفذ.‬ ‫مبوقع‬ Objectives: To compares the endoclose technique (ET) techniques and surgicel plug technique (SPT) in terms of port-site related complications. Minimally invasive surgeries (MIS) are widely performed nowadays, nonetheless, port-site closure technique plays a role in the prevention of port-site related complications. Methods: This retrospective study was carried out at general surgery and urology departments of King Fahad Medical City, Saudi Arabia. Variables that were collected include age, gender, height, weight, body mass index, co-morbidities, type and date of surgery, Original Articleintraoperative visceral injury or bleeding, technique cost, and port-site post-operative complications (hernia, infection, bleeding, dehiscence, and hypertrophic scarring). Data was collected from electronic medical records. Patients included are whom underwent any minimally invasive procedure from the beginning of 2014 until the end of September 2020. Follow up period was at least for 2 years. Results:We analyzed 397 patients. Surgicel plug technique was more of having hernia (2.3%) than of ET (0%). While ET was more on infection (0.9%) than in SPT, but no significant difference being observed (p=0.064). Conclusion:There is no significant difference between the ET and the novel SPT in terms of port-site related complications.

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