Advanced Laparoscopic Suturing Techniques

2010 ◽  
pp. 265-275
Author(s):  
Namir Katkhouda
Keyword(s):  
Laparoscopic Suturing ◽  
Suturing Techniques

scholarly journals Effect of Residents’ Previous Laparoscopic Surgery Experience on Initial Robotic Suturing Experience

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Gokhan Sami Kilic ◽  
Teresa M. Walsh ◽  
Mostafa Borahay ◽  
Burak Zeybek ◽  
Michael Wen ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Laparoscopic Suturing ◽  
Hands On ◽  
Group 2 ◽  
Suturing Techniques ◽  
Laboratory Training ◽  
The Impact ◽  
Suturing Skills ◽  
Group 1

Objective. To assess the impact of gynecology residents’ previous laparoscopic experience on the learning curve of robotic suturing techniques and the value of initial structured teaching in dry lab prior to surgery. Methods. Thirteen gynecology residents with no previous robotic surgery experience were divided into Group 1, consisting of residents with 2 or fewer laparoscopic experiences, and Group 2, consisting of residents with 3 or more laparoscopic experiences. Group 1 had a dry-laboratory training in suturing prior to their initial experience in the operating room. Results. For all residents, it took on average 382±159 seconds for laparoscopic suturing and 326±196 seconds for robotic suturing (P=0.12). Residents in Group 1 had a lower mean suture time than residents in Group 2 for laparoscopic suturing (P=0.009). The residents in Group 2, however, had a lower mean suture time on the robot compared to Group 1 (P=0.5). Conclusion. Residents with previous laparoscopic suturing experience may gain more from a robotic surgery experience than those with limited laparoscopic surgery experience. In addition, dry lab training is more efficient than hands-on training in the initial phase of teaching for both laparoscopic and robotic suturing skills.

Therapeutic laparoscopic suturing techniques

1992 ◽  
Vol 6 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Sung-Tao Ko ◽  
Mohan C. Airan
Keyword(s):  
Laparoscopic Suturing ◽  
Suturing Techniques

scholarly journals Association between Fellowship Training, Surgical Volume, and Laparoscopic Suturing Techniques among Members of the American Association of Gynecologic Laparoscopists

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Emad Mikhail ◽  
Lauren Scott ◽  
Branko Miladinovic ◽  
Anthony N. Imudia ◽  
Stuart Hart
Keyword(s):  
American Association ◽  
Positive Impact ◽  
Fellowship Training ◽  
Gynecologic Surgery ◽  
Surgical Volume ◽  
Laparoscopic Suturing ◽  
Study Objective ◽  
Academic Practice ◽  
Conventional Laparoscopic ◽  
Suturing Techniques

Study Objective. To compare surgical volume and techniques including laparoscopic suturing among members of the American Association of Gynecologic Laparoscopists (AAGL) according to fellowship training status.Design. A web-based survey was designed using Qualtrics and sent to AAGL members.Results. Minimally invasive gynecologic surgery (FMIGS) trained surgeons were more likely to perform more than 8 major conventional laparoscopic cases per month (63% versus 38%,P<0.001, OR [95% CI] = 2.78 [1.54–5.06]) and were more likely to perform laparoscopic suturing during these cases (32% versus 16%,P<0.004, OR [95% CI] = 2.44 [1.25–4.71]). The non-fellowship trained (NFT) surgeons in private practice were less likely to perform over 8 conventional laparoscopic cases (34% versus 51%,P=0.03, OR [95% CI] = 0.50 [0.25–0.99]) and laparoscopic suturing during these cases (13% versus 27%,P=0.01, OR [95% CI] = 0.39 [0.17–0.92]) compared to NFT surgeons in academic practice. Conclusion. The surgical volume and utilization of laparoscopic suturing of FMIGS trained surgeons are significantly increased compared to NFT surgeons. Academic practice setting had a positive impact on surgical volume of NFT surgeons but not on FMIGS trained surgeons.

Basic Laparoscopic Suturing Techniques

2008 ◽  
Vol 15 (6) ◽  
pp. 6S
Author(s):  
A. Cholkeri-Singh ◽  
C.E. Miller
Keyword(s):  
Laparoscopic Suturing ◽  
Suturing Techniques

Blood Flow Pattern and Anastomotic Compliance for Interrupted versus Continuous Coronary Bypass Grafts

2005 ◽  
Vol 6 (2) ◽  
pp. 65 ◽  
Author(s):  
Marc Gerdisch ◽  
Thomas Hinkamp ◽  
Stephen D. Ainsworth
Keyword(s):  
Blood Flow ◽  
Vessel Wall ◽  
Coronary Bypass ◽  
Bypass Grafts ◽  
Cross Sectional ◽  
Coronary Bypass Grafts ◽  
Geometric Consistency ◽  
Suturing Technique ◽  
Suturing Techniques ◽  
Key Indicators

<P>Background: Use of the interrupted coronary anastomosis has largely been abandoned in favor of the more rapid continuous suturing technique. The Coalescent U-CLIP anastomotic device allows the surgeon to create an interrupted distal anastomosis in the same amount of time that it would take to create a continuous anastomosis. This acute bovine study examined the effect of the anastomotic technique on blood flow and vessel wall function. </P><P>Methods: End-to-side coronary anastomoses were created in an open chest bovine model using the left and right internal thoracic arteries and the left anterior descending coronary artery. All other variables except suturing technique were carefully controlled. In each animal, one anastomosis was completed using a continuous suturing technique and the other was performed in an interrupted fashion using the Coalescent U-CLIP anastomotic device. Volumetric flow curves through each graft were analyzed using key indicators of anastomotic quality, and anastomotic compliance was evaluated using intravascular ultrasound. Luminal castings were created of each vessel to examine the interior surface of each anastomosis for constrictions and deformities. </P><P>Results: The interrupted anastomoses created with the Coalescent U-CLIP anastomotic device showed significant differences with respect to anastomotic compliance, pulsatility index, peak flow, and percentage of diastolic flow. The cross-sectional area and degree of luminal deformity were also different for the two suturing techniques. </P><P>Conclusions: In this acute bovine model, interrupted coronary anastomoses demonstrated superior geometric consistency and greater physiologic compliance than did continuously sutured anastomoses. The interrupted anastomosis also caused fewer disturbances to the flow waveform, behaving similarly to a normal vessel wall. The combination of these effects may influence both acute and long-term patency of the coronary bypass grafts.</P>

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