Bracket-like suture method: a novel, circular marked, simplest sided purse-string suture technique for intracorporeal circular-stapled oesophagojejunostomy during laparoscopic total gastrectomy

2021 ◽  
Author(s):  
Jianjun Du ◽  
Lizhi Zhao ◽  
Hongyuan Xue ◽  
Jian Hu ◽  
Ziqiang Zhang
Keyword(s):  
Total Gastrectomy ◽  
Suture Technique ◽  
Laparoscopic Total Gastrectomy ◽  
Purse String Suture ◽  
Purse String

scholarly journals Reverse puncture device technique: an innovation of esophagojejunostomy in radical laparoscopic total gastrectomy

2019 ◽  
Vol 15 (24) ◽  
pp. 2807-2817 ◽  
Author(s):  
Xiaoxu Huang ◽  
Li Xu ◽  
Hui Peng ◽  
Hao Hu ◽  
Yan Jin ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Odds Ratio ◽  
Outcome Data ◽  
Suture Technique ◽  
Purse String Suture ◽  
Purse String ◽  
Anastomotic Complications ◽  
Drainage Time ◽  
Postoperative Drainage ◽  
Laparoscopic Assisted

Aim: To evaluate the feasibility, safety, short- and long-term efficacy of a reverse puncture device (RPD) technique for esophagojejunostomy in laparoscopic-assisted total gastrectomy. Patients & methods: This retrospective study analyzed outcome data of 104 patients in propensity score matching whom were divided into the RPD and the purse-string suture technique group. Results: The RPD group had a shorter anvil placement time, shorter operative time, longer resected esophageal length, shorter incision length, shorter postoperative drainage time, shorter postoperative hospital stay and anastomotic complications than the purse-string suture technique group (p < 0.05). Multivariate analysis showed that BMI (odds ratio: 6.285, 1.446–27.322) and anvil placement time (odds ratio: 5.645, 1.089–29.321) were independent risk factors for anastomotic complications (p < 0.05). Conclusion: Laparoscopic-assisted total gastrectomy using an RPD technique is feasible, safe and effective.

Intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy

2010 ◽  
Vol 24 (11) ◽  
pp. 2908-2912 ◽  
Author(s):  
Takahiro Kinoshita ◽  
Takashi Oshiro ◽  
Katsuhiko Ito ◽  
Hidehito Shibasaki ◽  
Shinichi Okazumi ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy ◽  
Purse String Suture ◽  
Purse String

scholarly journals Distal purse-string suture technique for TaTME

2018 ◽  
Vol 23 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. Wu ◽  
R. Benedict ◽  
A. Caycedo-Marulanda
Keyword(s):  
Suture Technique ◽  
Purse String Suture ◽  
Purse String

scholarly journals Reconstruction of Areolar Projection Using a Purse-String Suture Technique

2015 ◽  
Vol 3 (7) ◽  
pp. e453 ◽  
Author(s):  
Stephanie A. Caterson ◽  
Mansher Singh ◽  
Simon G. Talbot ◽  
Elof Eriksson
Keyword(s):  
Suture Technique ◽  
Purse String Suture ◽  
Purse String

Comparison of three purse-string suture techniques for prevention of anal leakage during surgery

2021 ◽  
pp. 1-5
Author(s):  
Jo Anne Au Yong ◽  
Daniel D. Smeak
Keyword(s):  
Clinical Relevance ◽  
Suture Technique ◽  
Suture Techniques ◽  
Leak Pressure ◽  
Purse String Suture ◽  
Purse String ◽  
Pressure Testing ◽  
Nylon Suture ◽  
Cutaneous Tissue ◽  
Suture Placement

Abstract OBJECTIVE To compare 3 anal purse-string suture techniques for resistance to leakage and to identify the suture technique requiring the fewest tissue bites to create a consistent leak-proof orifice closure. ANIMALS 18 large-breed canine cadavers. PROCEDURES 3 purse-string suture techniques (3 bites with 0.5 cm between bites [technique A], 5 bites with 0.5 cm between bites [technique B], and 3 bites with 1.0 cm between bites [technique C]) were evaluated. Each technique involved 2-0 monofilament nylon suture that was placed in the cutaneous tissue around the anus and knotted with 6 square throws. Standardized 2.0-cm-diameter circular templates with the designated bite number and spacing indicated were used for suture placement. Leak-pressure testing was performed, and the pressure at which saline was first observed leaking from the anus was recorded. The median and interquartile (25th to 75th percentile) range (IQR) were compared among 3 techniques. RESULTS Median leak pressure for technique A (101 mm Hg; IQR, 35 to 131.3 mm Hg) was significantly greater than that for technique C (19 mm Hg; IQR, 14.3 to 25.3 mm Hg). Median pressure did not differ between techniques A and B (50 mm Hg; IQR, 32.5 to 65 mm Hg) or between techniques B and C. CLINICAL RELEVANCE Placement of an anal purse-string suture prevented leakage at physiologic colonic and rectal pressures, regardless of technique. Placement of 3 bites 0.5 cm apart (technique A) is recommended because it used the fewest number of bites and had the highest resistance to leakage.

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