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Related Experiment Videos

Suture placement for hemostasis during laparoscopy using the Stamey needle

J L Jones1, R J Thompson, G I Benrubi

  • 1Department of Obstetrics and Gynecology, University of Florida Health Science Center, 653-1 W 8th Street, Jacksonville, FL 32209, USA.

The Journal of the American Association of Gynecologic Laparoscopists
|August 1, 1995
PubMed
Summary

Managing bleeding at laparoscopic cannula sites is challenging. A new laparoscopic suture technique using a Stamey needle offers improved hemostasis for abdominal wall bleeding.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Gastrointestinal Endoscopy

Background:

  • Bleeding at cannula insertion sites is a common complication during laparoscopic surgery.
  • Existing methods like suturing, electrocoagulation, and Foley catheter placement may not always achieve adequate hemostasis.
  • Effective management of abdominal wall bleeding is crucial for patient safety and procedural success.

Purpose of the Study:

  • To introduce and evaluate a novel technique for controlling abdominal wall bleeding during laparoscopic procedures.
  • To provide surgeons with an effective and reliable method for managing hemorrhage at cannula sites.
  • To improve hemostasis in laparoscopic surgery by addressing a frequent source of bleeding.

Main Methods:

  • Development of a technique involving direct suture placement under laparoscopic guidance.

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  • Utilization of an absorbable monofilament suture for bleeding control.
  • Employing the Stamey needle as a specialized ligature carrier for precise suture placement.

    • Main Results:

    • The described technique allows for direct suture placement and ligature formation under laparoscopic visualization.
    • This method provides a potentially more effective means of achieving hemostasis compared to traditional techniques.
    • The use of an absorbable suture ensures that no foreign material remains permanently in the abdominal wall.

    Conclusions:

    • Direct suture placement under laparoscopic guidance using an absorbable monofilament suture and Stamey needle is a feasible technique.
    • This method offers a valuable addition to the armamentarium for managing abdominal wall bleeding during laparoscopy.
    • Further studies are warranted to compare the efficacy and safety of this technique with existing methods.