Suture placement for hemostasis during laparoscopy using the Stamey needle.
Bleeding at cannula insertion sites during laparoscopic procedures often is difficult to manage. The few published techniques for controlling abdominal wall bleeding include suturing under direct observation, electrocoagulation, and placement of a Foley catheter. These methods may provide less than adequate hemostasis, however. We developed a technique of direct suture placement under laparoscopic guidance using an absorbable monofilament suture and the Stamey needle as a ligature carrier.
Jones
J L
JL
Department of Obstetrics and Gynecology, University of Florida Health Science Center, 653-1 W 8th Street, Jacksonville, FL 32209, USA.
Thompson
R J
RJ
Benrubi
G I
GI
D000009:Abdominal Muscles / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002404:Catheterization / Q000295:instrumentation; D004564:Electrocoagulation; D019074:Epigastric Arteries / Q000293:injuries / Q000601:surgery; D004867:Equipment Design; D000071938:Fasciotomy; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy; D008026:Ligation / Q000295:instrumentation; D009339:Needles; D013245:Sterilization, Reproductive / Q000295:instrumentation / Q000379:methods; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures; D013997:Time Factors