A new knot-supporting instrument and knot technique for laparoscopic surgery.

Autor: Börekci H; Department of General Surgery, Bozok University, Yozgat, Turkey. hborekci@mynet.com, Börekci E, Ak H, Zengin K, Atalay T, Tanik S
Jazyk: angličtina
Zdroj: Turkish journal of medical sciences [Turk J Med Sci] 2014; Vol. 44 (6), pp. 1130-3.
Abstrakt: Background/aim: We report here an instrument designed by Dr Hasan Bdrekci that provides support to the knot to facilitate knot tying in laparoscopic procedures. We call the device the 'B6rekci knot-supporting instrument' and the technique 'B6rekci's knot technique'
Materials and Methods: To evaluate the efficacy of this instrument, 17 surgeons performing laparoscopic surgery tied 3 knots using the classical intracorporeal method and then using the intracorporeal knot-supporting instrument. The times required to tie each knot were recorded and compared statistically.
Results: Comparing the 2 knotting methods, the time spent tying the knots was shorter with the knot-supporting instrument in all 3 trials and the difference was significant (P = 0.026) in the third trial.
Conclusion: This alternative technique can be used for all knots in laparoscopic surgery when classical intracorporeal knotting is difficult.
Databáze: MEDLINE