title: Laparoscopy rein and a backward needle entrance.
abstract: Since the awakening of single-port laparoscopy and culdolaparoscopy and with the increased interest in minilaparoscopy-assisted natural orifice surgery and pure natural orifice peritoneoscopy, laparoscopists are in pursuit of techniques with less percutaneous assistance. We made a rein using a 6-cm straight cutting edge needle in a 2-0 nylon suture with a large clip tied near the end as stoppage. We are also presenting an optional technique of placing the 6-cm straight needle backward, when the diameter of the cannula does not allow the parallel passage of the needle holder. The rein is simple, inexpensive, and easy to assemble, and may solve some problems of traction and triangulation without additional ports.
authors.affiliation: The Mount Sinai Hospital of Queens, Long Island City, New York 11102, USA. lasergyn@aol.com
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Tsin
authors.forename: Fausto
authors.initials: F
authors.lastname: Davila
authors.forename: Guillermo
authors.initials: G
authors.lastname: Dominguez
authors.forename: Andrea
authors.initials: A
authors.lastname: Tinelli
mesh_terms: D057785:Catheters; D004867:Equipment Design; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009339:Needles; D013537:Sutures