Hand-assisted laparoscopic suturing: reconstruction.
Reconstructive techniques performed using open, laparoscopic, or hand-assisted techniques depend on the surgeon's ability to approximate tissues and secure bleeding vessels safely and efficiently. The indications for hand-assisted suturing include hemostasis, diaphragmatic and visceral repair, and reconstruction. The equipment required includes a standard laparoscopic needle driver, sutures with noncutting needles, and the handaccess device. The surgeon should be comfortable with the particular equipment available in his/her operating room. Techniques for suturing during hand-assisted laparoscopic reconstructive surgery are described.
Hsieh
Kisseng
K
Division of Urology, University of Connecticut Health Center, Farmington, Connecticut, USA.
Shichman
Steven
S
D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation