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Chapter-04 “1, 2 and V” Laparoscopic Suturing Simplified to the Core

BOOK TITLE: ISARCON 2017 Manual of Laparoscopic Endosuturing

Author
1. Jain Vandana
2. Jain Nutan
ISBN
9789352700745
DOI
10.5005/jp/books/14174_5
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. Aditya Jyot Eye Hospital Pvt. Ltd., Plot No. 153, Road No. 9, Major Parmeshwaran Road, Opp. SIWS College, Gate No. 3, Wadala, Mumbai, Aditya Jyot Eye Hospital Pvt. Ltd, Plot No. 153, Road No. 9, Major Parmeshwaran Road, Opp. SIWS College, Gate No. 3, Wadala, Mumbai, India, Vardhman Trauma and Laparoscopy, Centre Pvt Ltd, Muzaffarnagar, Uttar Pradesh, India, Vardhman Trauma and Amp, Laparoscopy Centre Pvt. Ltd, Muzaffarnagar, Uttar Pradesh, India, AIIMS, New Delhi, India, All India Institute of Medical Sciences (AIIMS), New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Vardhman Trauma and Laparoscopy Center, Muzaffarnagar, Uttar Pradesh, India, Vardhman Trauma and Laparoscopy Center Pvt. Ltd., Muzaffarnagar, Uttar Pradesh, India, Pramukhswami Medical College, Karamsad, Distt. Anand, Gujarat
2. Vardhman Trauma & Laparoscopy Centre Pvt Ltd, Muzaffarnagar, UP, India, Vardhman Super Specialty Hospital, Muzaffarnagar, Uttar Pradesh, India, Vardhman Trauma and Laparoscopy, Centre Pvt Ltd, Muzaffarnagar, Uttar Pradesh, India, Vardhman Trauma and Laparoscopy, Center Pvt Ltd, Muzaffarnagar, Uttar Pradesh, India, Muzaffarnagar (UP), Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, Uttar Pradesh, India, Muzaffarnagar, Vardhman Trauma and Laparoscopy Center, Muzaffarnagar, Uttar Pradesh, India, Vardhman Trauma and Laparoscopy Centre Pvt Ltd, Muzaffarnagar, Uttar Pradesh, India, Vardhman Hospital Muzzafarnagar, UP, India, Vardhman Trauma & Laparoscopy Centre Pvt. Ltd, A-36, South Civil Lines, Mahavir Chowk, Muzaffarnagar 251 001, UP, India, Vardhman Trauma and Laparoscopy Center (P) Ltd, Uttar Pradesh, India, Vardhman Trauma and Laparoscopy Center (P) Ltd, Muzaffarnagar, Uttar Pradesh, India, Vardhman Infertility and Endoscopy Centre, Muzaffarnagar, India, Vardhman Infertility and Endoscopic Centre, Mu
Chapter keywords
Laparoscopic suturing, ligation, intracorporeal method, curve needle suturing, uterine prolapse repair, burch colposuspension, tubotubal anastomosis, V letter knot tying, V letter laparoscopic suturing, needle holder, laparoscopic surgery

Abstract

Laparoscopic suturing is an endoscopic skill necessary for the successful performance of a variety of advanced and complex laparoscopic procedures. Of the suturing and knot-tying methods adopted for laparoscopic surgery, the intracorporeal method remains the most difficult to master. The ability to utilize curved needle suturing provides the surgeons with greater operative flexibility. Curve needle suturing has totally changed the dimensions of laparoscopic surgery. That is how nowadays laparoscopists are doing complex surgeries like uterine prolapse repair, burch colposuspension, tubotubal anastomosis, etc. Equipment necessary for intracorporeal suturing are two laparoscopic needle holders or one laparoscopic needle holder and a grasper; suture materials; and laparoscopic scissors. The chapter discusses upon the simple innovative technique of laparoscopic suturing, utilizing two needle holders, using two steps of holding and aligning the needle. It has been the author’s experience that formation of letter “V” is an over simplification of the intricacies of knot tying.

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