Extracorporeal suturing of trocar-induced defects and vascular injuries in the abdominal wall during laparoscopy using a modified Veress needle.
Anterior wall bleeding and incisional hernias are two frequent complications of laparoscopic surgery. The inside of the retractable blunt tip of a Veress needle modified by a slit (0.5 mm wide x 0.5 mm deep) functions as a ligature carrier. Extracorporeal ligation of vessels or closure of fascial or peritoneal defects is achieved easily and rapidly by this technique.
Vilos
G A
GA
Department of Obstetrics and Gynecology, St. Joseph's Health Centre, University of Western Ontario, London, Canada.
D000009:Abdominal Muscles / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004867:Equipment Design; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D010535:Laparoscopy / Q000009:adverse effects*; D008026:Ligation / Q000295:instrumentation / Q000379:methods; D013536:Suture Techniques / Q000295:instrumentation*