PSSST

Step 08d

admin — Tue, 28 Aug 2012 06:42:17 +0000

Trocar rotated to final exit point of suture, needle reinserted and suture re-engaged, withdrawn and tied as for single suture.

Step 08c

admin — Tue, 28 Aug 2012 06:41:44 +0000

Needle reinserted into abdominal cavity, suture released from needle and end pulled through with forceps into abdominal cavity.

Step 08b

admin — Tue, 28 Aug 2012 06:40:51 +0000

Trocar rotated to site of next suture while thread still grasped by the needle.

Step 08a

admin — Tue, 28 Aug 2012 06:31:33 +0000

Needle withdrawn so that point is just within the trocar (mark on supplied needle at point of asterisk assists this manoeuvre).

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Needle withdrawn through tissues and trocar conduit, bringing suture with it to surface.