A SIMPLE TECHNIQUE OF SECURING INFERIOR EPIGASTRIC VESSELS AND REPAIRING THE RECTUS SHEATH AT LAPAROSCOPIC SURGERY
作者:
Ioannis Chatzipapas,
Adam Magos,
期刊:
Obstetrics & Gynecology
(OVID Available online 1997)
卷期:
Volume 90,
issue 2
页码: 304-306
ISSN:0029-7844
年代: 1997
出版商: OVID
数据来源: OVID
摘要:
Trauma to the inferior epigastric artery during insertion of ports for laparoscopic surgery can be associated with major hemorrhage. Several techniques have been developed to deal with this emergency, but most require special and expensive instrumentation that may not be readily available. We describe a simple and quick method to deal with this complication using only standard sutures and a laparoscopic needle holder. Two sutures with straight needles are inserted below laterally and medially to the vessels and pulled out via a contralateral port. The sutures are tied together and pulled back into the abdominal cavity and tied to secure the vessels. The procedure is repeated above the vessels to produce complete hemostasis. The technique also can be applied easily to repair the rectus sheath after using large trocars and cannulas and thereby prevent herniation.
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