Limits...
Laparoscopic closure of small bowel perforation: Technique of small bowel anchoring to the abdominal wall.

Jagad RB - J Minim Access Surg (2009)

Bottom Line: The long end of the suture is retrieved by a suture retrieval needle and the small bowel is anchored to the abdominal wall.This helps specifically for large perforation.Suturing and knot tying is relatively easy by this technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, New Civil Hospital and Government Medical College, Surat, Gujarat, India.

ABSTRACT

Introduction: More and more complicated laparoscopic abdominal surgeries are now being performed across the world. Laparoscopic suturing of the bowel perforations is being performed by experienced surgeons. We have developed our own technique of small bowel anchoring to the abdominal wall before suturing the perforation.

Our modification: A single stitch is taken at the corner of the perforation. The long end of the suture is retrieved by a suture retrieval needle and the small bowel is anchored to the abdominal wall. Rest of the bowel perforation is suture by the intracorporeal knot-tying technique.

Advantages: Anchoring the bowel to the abdominal wall helps in fixation of the bowel to be sutured. This helps specifically for large perforation. Suturing and knot tying is relatively easy by this technique.

No MeSH data available.


Related in: MedlinePlus

A stitch is taken at the corner of the perforation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2734901&req=5

Figure 0001: A stitch is taken at the corner of the perforation

Mentions: For the closure of large perforations of the small bowel, we adopt our technique of anchoring the small bowel with the abdominal wall. We take the single stitch at the corner of the perforation and tie the suture [Figure 1]. One end of the suture is kept long and is retrieved through the anterior abdominal wall using the suture retrieval needle [Figure 2]. We pull the suture in such a way that the bowel hangs at the middle of the abdominal wall cavity [Figure 3]. A hemostatic forceps is applied at the end of the suture that is outside the abdominal wall. Now rests of the sutures are taken [Figure 4].


Laparoscopic closure of small bowel perforation: Technique of small bowel anchoring to the abdominal wall.

Jagad RB - J Minim Access Surg (2009)

A stitch is taken at the corner of the perforation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2734901&req=5

Figure 0001: A stitch is taken at the corner of the perforation
Mentions: For the closure of large perforations of the small bowel, we adopt our technique of anchoring the small bowel with the abdominal wall. We take the single stitch at the corner of the perforation and tie the suture [Figure 1]. One end of the suture is kept long and is retrieved through the anterior abdominal wall using the suture retrieval needle [Figure 2]. We pull the suture in such a way that the bowel hangs at the middle of the abdominal wall cavity [Figure 3]. A hemostatic forceps is applied at the end of the suture that is outside the abdominal wall. Now rests of the sutures are taken [Figure 4].

Bottom Line: The long end of the suture is retrieved by a suture retrieval needle and the small bowel is anchored to the abdominal wall.This helps specifically for large perforation.Suturing and knot tying is relatively easy by this technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, New Civil Hospital and Government Medical College, Surat, Gujarat, India.

ABSTRACT

Introduction: More and more complicated laparoscopic abdominal surgeries are now being performed across the world. Laparoscopic suturing of the bowel perforations is being performed by experienced surgeons. We have developed our own technique of small bowel anchoring to the abdominal wall before suturing the perforation.

Our modification: A single stitch is taken at the corner of the perforation. The long end of the suture is retrieved by a suture retrieval needle and the small bowel is anchored to the abdominal wall. Rest of the bowel perforation is suture by the intracorporeal knot-tying technique.

Advantages: Anchoring the bowel to the abdominal wall helps in fixation of the bowel to be sutured. This helps specifically for large perforation. Suturing and knot tying is relatively easy by this technique.

No MeSH data available.


Related in: MedlinePlus