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[Application of traction metal clip with fishhook-like device in endoscopic resection]
1Department of Gastroenterology, Jiangyin Hospital Affiliated to Nantong University, Jiangyin 214400, China.
Abstract:
From July 2020 to June 2021, patients in Jiangyin Hospital Affiliated to Nantong University who met the enrollment criteria were treated with the fishhook-like device during the operation to suture the postoperative wound (group A). Patients with similar conditions and similar size wounds who were treated with a "purse-string suture" to suture the wounds were retrospectively analyzed as the control group (group B). Difference in the suture rate, adverse events, time required for suturing, and number of metal clips were compared between the two groups. The time required for suturing was (7.83±2.41) min in group A and (11.00±3.31) min in group B. The difference was statistically significant (P=0.002). The number of metal clamps used in group A averaged 7.17 pieces/case, and the number of metal clamps used in group B averaged 7.06 pieces/case. The difference was not statistically significant (P>0.05).The traction metal clip with the fishhook-like device is ingeniously designed and easy to operate. It has a good suture effect on the wound after endoscopic resection and effectively prevents postoperative adverse events.
Insights
A novel fishhook-like device significantly reduced surgical wound suturing time compared to traditional purse-string sutures. This innovative device also demonstrated effectiveness in preventing postoperative adverse events in patients undergoing endoscopic resection.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Wound Closure Techniques
Background:
- Postoperative wound management is critical after endoscopic resections.
- Traditional suturing methods can be time-consuming and may lead to complications.
- Evaluating novel devices for improved surgical efficiency and patient outcomes is essential.
Purpose of the Study:
- To compare the efficacy and efficiency of a fishhook-like device versus purse-string sutures for postoperative wound closure.
- To assess differences in suturing time, adverse events, and metal clip usage.
- To evaluate the clinical utility of the fishhook-like device in endoscopic surgery.
Main Methods:
- Prospective study (July 2020-June 2021) of patients undergoing wound suturing with a fishhook-like device (Group A).
- Retrospective analysis of patients with similar wounds treated with purse-string sutures (Group B).
- Comparison of suture rate, adverse events, suturing time, and metal clip usage between groups.
Main Results:
- Suturing time was significantly shorter in the fishhook-like device group (7.83±2.41 min) compared to the purse-string suture group (11.00±3.31 min) (P=0.002).
- No statistically significant difference was observed in the number of metal clips used between the two groups.
- The fishhook-like device exhibited a good suture effect and helped prevent postoperative adverse events.
Conclusions:
- The fishhook-like device offers an effective and efficient method for wound closure after endoscopic resection.
- Its ingenious design facilitates ease of operation and contributes to favorable patient outcomes.
- This device represents a valuable advancement in surgical wound management, potentially reducing complications and improving surgical workflow.
