Suturing Techniques

Abstract

Endoscopic surgery requires suturing within closed spaces or body cavities. These techniques demands the proper selection of needles that can be passed through ports without damaging the port sleeve or distorting the shape of the needle as it passes through. Needle forms suitable for endoscopic procedures have been explained with techniques to insert the needle into the body cavity depending on the type of needle selected. Once a needle has been passed through the port and passed through the desired tissue, knots can be tied within the body cavity (intracorporeal) or outside the body cavity (extracoropeal). The technique for intracorporeal knot tying has been explained using the technical aspects necessary for this manipulation. Furthermore, parameters that influence the tying of an intracorporeal knot have been outlined. The technique for extracorporeal knot tying has been also explained, with technique for proper insertion and usage of the knot-pusher device.