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 |
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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 |
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