PSSST » Single Suture in Non Obese Patients

Notes

admin — Mon, 27 Aug 2012 04:55:09 +0000

Muscle tissues drawn together by tying individual sutures after removal of the trocar.

Notes

admin — Mon, 27 Aug 2012 04:54:12 +0000

Plan view of trocar rotations used to close a port site using three single sutures.

Step 12

admin — Mon, 27 Aug 2012 04:53:36 +0000

Both ends of suture pulled to tighten loop against the peritoneal lining and draw muscle tissue together, maintaining the pneumoperitoneum. Suture site can be inspected with the telescope inside the abdomen. Suture tied against outside of muscle layer.

Step 11

admin — Mon, 27 Aug 2012 04:53:14 +0000

Suture safely snugged up around the trocar watched by the intra abdominal telescope. (For multiple individual or continuous sutures, trocar would be kept in until all sutures in place, with each suture tightened and snugged up against sides).

Step 10

admin — Mon, 27 Aug 2012 04:52:50 +0000

Trocar pulled outwards to reveal lower conduit opening again so that suture can be removed from trocar conduit.

Step 09

admin — Mon, 27 Aug 2012 04:52:11 +0000

Needle withdrawn through tissues and trocar conduit, bringing suture with it to surface.

Step 08

admin — Mon, 27 Aug 2012 04:51:49 +0000

Needle reinserted into trocar conduit, through muscle tissue and into abdominal cavity on other side of opening.
Suture grasped by suture carrying needle.

Step 07

admin — Mon, 27 Aug 2012 04:51:27 +0000

Trocar rotated about 180° (or smaller angles as appropriate for location of suture around port opening) and pushed back inwards to level of markings.

Step 06

admin — Mon, 27 Aug 2012 04:51:04 +0000

Trocar pulled outwards to reveal lower opening of conduit so that suture can be removed from conduit.

Step 05

admin — Mon, 27 Aug 2012 04:50:42 +0000

Needle withdrawn from trocar.