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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Related Experiment Video

Updated: Aug 22, 2025

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
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Endoscopic Closure: Tools and Techniques.

Thomas R McCarty1, Pichamol Jirapinyo1

  • 1Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA; Harvard Medical School, Boston, MA, USA.

Gastrointestinal Endoscopy Clinics of North America
|November 14, 2022
PubMed
Summary
This summary is machine-generated.

Innovative endoscopic closure devices and techniques are crucial for third space endoscopy. This review covers current methods, their safety and effectiveness, and practical applications in clinical settings.

Keywords:
Endoscopic submucosal dissectionEndoscopic suturingEndoscopyOver-the-scope-clipsThrough-the-scope clipsX-tack endoscopic HeliX tacking system

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Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Third space endoscopy procedures are expanding rapidly.
  • Effective closure of defects created during these procedures is essential.

Purpose of the Study:

  • To review current endoscopic defect closure devices and techniques.
  • To discuss the safety and efficacy data for these methods.
  • To describe the authors' practice patterns in endoscopic closure.

Main Methods:

  • Literature review of commonly used endoscopic closure devices and techniques.
  • Analysis of published data on safety and efficacy.
  • Description of expert-authored practice patterns.

Main Results:

  • Various endoscopic closure devices (e.g., clips, sutures, patches) are available.
  • Established techniques demonstrate varying degrees of safety and efficacy.
  • Authors' practice patterns reflect a tailored approach based on defect type and clinical scenario.

Conclusions:

  • A range of endoscopic closure options exist to manage defects from third space endoscopy.
  • Selection of the appropriate device and technique is critical for patient outcomes.
  • Continued innovation in endoscopic closure is needed to meet the demands of advanced endoscopic procedures.