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Related Experiment Video

Updated: Jul 10, 2026

Use of the Scissor-Type Knife During the Peroral Endoscopy Myotomy Procedure for the Treatment of Achalasia
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Published on: March 3, 2023

The alternative needle handling technique in endoscopic surgery.

Tomotaka Hemmi1, Kazuhiro Nomura2, Ryosuke Ito3

  • 1Department of Otolaryngology, Japanese Red Cross Ishinomaki Hospital, 71 Nishimichishita, Hebita, Ishinomaki, Miyagi 986-8522, Japan; Department of Otolaryngology, Head and Neck Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-Ku, Sendai 980-8574, Japan.

Auris, Nasus, Larynx
|July 8, 2026
PubMed
Summary

A new needle handling technique for endoscopic endonasal suturing significantly reduces procedure time, especially for junior surgeons and on the left nasal side. This method requires no specialized instruments, enhancing efficiency in nasal cavity surgeries.

Keywords:
Endoscopic surgeryNasal cavitySutureSuturingWound closure

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Endoscopic endonasal suturing is crucial for nasal cavity procedures.
  • Conventional needle handling techniques can be time-consuming and experience-dependent.
  • A need exists for efficient, universally applicable suturing methods.

Purpose of the Study:

  • To introduce and evaluate an alternative needle handling technique for endoscopic endonasal suturing.
  • To assess the impact of this technique on needle handling time.
  • To determine if the technique reduces disparities related to surgeon experience or nasal laterality.

Main Methods:

  • Retrospective analysis of 115 endoscopic endonasal suturing procedures across two institutions.
  • Comparison of conventional versus alternative needle handling techniques.
  • Assessment of needle handling time via surgical videos and medical records, stratified by surgeon experience and nasal side.

Main Results:

  • The alternative technique significantly reduced needle handling time compared to the conventional method.
  • Greater time reductions were observed on the left nasal side and among junior surgeons.
  • No significant laterality differences were noted with the alternative technique.

Conclusions:

  • The alternative needle handling technique offers a valuable method to decrease suturing time in endoscopic endonasal surgery.
  • This technique is effective regardless of surgeon experience and benefits procedures on the anterolateral nasal cavity.
  • Its implementation does not necessitate specialized instruments, promoting broad adoption.