Subcutaneous T-fastener gastropexy: a new technique
Michelle T Black1, Caitlin A Hung, Christopher Loh
1Department of Radiology, Santa Clara Valley Medical Center, San Jose, CA 95128, USA.
AJR. American Journal of Roentgenology
|April 27, 2013
Summary
A new subcutaneous gastropexy technique using absorbable sutures offers a safer alternative to traditional T-fastener methods for percutaneous radiologic gastrostomy. This approach eliminates suture removal and associated complications.
Area of Science:
- Minimally Invasive Procedures
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- T-fastener gastropexy is a critical step in percutaneous radiologic gastrostomy (PRG).
- Standard gastropexy involves fastening the stomach to the abdominal wall using T-fasteners.
- Minor complications, such as infections and discomfort, are often linked to the prolonged presence of cutaneous T-fastener sutures.
Purpose of the Study:
- To introduce and evaluate a novel technique for gastropexy.
- The new method utilizes subcutaneous placement of absorbable sutures.
- This aims to overcome the limitations and complications associated with conventional percutaneous T-fastener gastropexy.
Main Methods:
- A modified gastropexy technique was developed.
- Absorbable sutures were placed subcutaneously, avoiding percutaneous T-fastener placement.
- The procedure was performed as part of the percutaneous radiologic gastrostomy process.
Main Results:
- The subcutaneous gastropexy technique proved to be safe.
- This method successfully obviates the need for follow-up suture removal.
- Complications typically associated with cutaneous sutures were eliminated.
Conclusions:
- Subcutaneous gastropexy is a safe and effective alternative for PRG.
- The technique simplifies post-procedure care by eliminating suture removal.
- It significantly reduces or eliminates complications related to cutaneous sutures.