P-BN48 Utilising spatial geometry to obtain the ideal needle mount for laparoscopic intracorporeal suturing

Forming an intracorporeal slip-knot in laparoscopic suturing.

L aparoscopic suturing presents an important skills barrier to developing a laparoscopic surgical practice. The formation of a slip-knot greatly assists in approximating tissue that may initially be under tension or when the suture material is difficult to tie owing to memory (the property of resisting deformation). I describe here a technique that allows the surgeon to fashion an intracorporea...

Intracorporeal Knot-Tying and Suturing Techniques in Laparoscopic Surgery: Technical Details

BACKGROUND Intracorporeal suturing and knot-tying in laparoscopic surgery require great manual dexterity; these techniques must absolutely be mastered by every surgeon who is interested in pursuing the minimally invasive approach. METHOD The initial and final knot of a laparoscopic continuous suture can be accomplished in several ways and with easy technical solutions that are fully illustrat...

Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations

OBJECTIVE The use of laparoscopy in urology is increasing. Tumor of the kidney or adrenal gland and, in some cases, metastatic disease can involve the diaphragm. We describe the application of laparoscopic suturing techniques in the case of diaphragmatic involvement with a renal tumor. METHODS After resection of the tumor and a small area of the diaphragm, a chest tube was placed under laparo...

A new suturing needle.

Laparoscopic management of intraperitoneal bladder rupture secondary to blunt abdominal trauma using intracorporeal single layer suturing technique.

BACKGROUND Since Parra reported the first case of laparoscopic repair of bladder rupture caused by nonlaparoscopic injury to the bladder in 1994, several case reports have demonstrated the feasibility of this reconstructive surgical technique. We report the series of six patients that underwent laparoscopic repair of intraperitoneal bladder rupture (LRIB) because of blunt trauma using a single ...