Ergonomic evaluation of laparoscopic bowel suturing

Joice, Paul; Hanna, G. B.; Cuschieri, Alfred

doi:10.1016/s0002-9610(98)00202-5

Cited by 52 publications

(34 citation statements)

References 9 publications

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“…In particular, laparoscopic suturing is a technically challenging procedure even for experienced general surgeons because it requires specific advanced skills (29,30). Additionally, its complications are responsible for a large proportion of the ensuing mortality and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Lee

Kawai

Tashiro

et al. 2016

Jpn. J. Clin. Oncol.

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Objective: Intracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure. Methods: The subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied. Results: Between July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months.Conclusions: The use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Lee

Kawai

Tashiro

et al. 2016

Jpn. J. Clin. Oncol.

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“…Joice et al [5] concluded that a laparoscopic needle insertion angle of 80-100°combined with a needle holding angle >90°i mproves the accuracy of stitch placement. For the needle tip to emerge directly from the tissue, it must be driven through its natural arc so that most of the force on the tissue is exerted at the tip [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous attempts have been made to describe the path of the needle during suturing [5,[7][8][9]11]. Likewise, the movement of the hand during open suturing has been studied [7][8][9].…”

mentioning

confidence: 99%

Hand movements in laparoscopic suturing: a simple vector analysis

Hansen

Schlinkert

2004

Surg Endosc

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“…Studies have shown that correct ergonomics reduce the suturing time. 3 Pressure-related chronic pain in surgeons has been shown relieved by the use of ergonomically design instruments 4 so, it is important to understand the ergonomics for the surgeons for them and the best recovery of patients.…”

Section: Ergonomicsmentioning

confidence: 99%

Strategic Rest Break in Laparoscopic Surgery: A Need

Mukhopadhyay¹,

Mishra²,

Froněk³

2012

WJOLS

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Laparoscopic surgery is a less painful surgery to patients but is more for the doctor. Surgeons feels fatigue and discomfort due to its technical complexity and ergonomics. Prolong duration of surgery and pneumoperitoneum creates the patient exhausted and causes some remarkable hemodynamic changes. During operation the strategic rest break after 90 minutes, for 5 minutes, increase the better outcome not only to patients but also to the doctor.

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Ergonomic evaluation of laparoscopic bowel suturing

Cited by 52 publications

References 9 publications

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Hand movements in laparoscopic suturing: a simple vector analysis

Strategic Rest Break in Laparoscopic Surgery: A Need

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