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Updated: Jan 13, 2026

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Needle Handling Techniques in Endoscopic Suturing
Tomotaka Hemmi1,2,3, Kazuhiro Omura4, Kazuhiro Nomura2,5
1Department of Otolaryngology, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Miyagi, Japan.
Abstract:
This study describes practical needle handling techniques for endonasal endoscopic surgery, focusing on controlled suturing movements adapted to incision orientation and anatomical constraints. Emphasis is placed on single-motion needle advancement, proper reorientation, and precise force application, particularly for skull base suturing where tactile feedback is limited. These techniques enable reliable and efficient closure in endoscopic surgery without the need for specialized instruments.
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