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首页> 外文期刊>Surgical Endoscopy >A new Dual-hemostat technique to facilitate the closure of small laparoscopic trocar incisions.
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A new Dual-hemostat technique to facilitate the closure of small laparoscopic trocar incisions.

机译：一种新的双重止血技术，可以方便地关闭小腹腔镜套管针切口。

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BACKGROUND: The introduction of any surgical procedure brings with it new technical challenges. The use of laparoscopy offers patients a reduction in pain and better cosmesis. However, over time, new technical challenges associated with laparoscopic surgery are becoming more evident. In particular, the closure of the small trocar site fascial incisions is often awkward and time consuming. The aim of this article is to introduce a closing procedure that facilitates the safe approximation of the abdominal fascia in these wounds. METHOD: One hemostat is used to visualize the fascia of one side of the wound and separate the fascia from the underlying abdominal viscera. Another hemostat retracts the opposite side of the wound. The suture needle is passed through the fascia and between the open tips of the hemostat. The tips of the second hemostat grasp the driven needle and carry it out of the wound. CONCLUSION: The use of two hemostats to close these wounds not only facilitates the closure but is also probably safer than the standard technique.
机译：背景：任何外科手术的引入都带来了新的技术挑战。腹腔镜检查的使用为患者减轻了疼痛，并改善了美容效果。然而，随着时间的流逝，与腹腔镜手术相关的新技术挑战变得越来越明显。特别地，小套管针部位筋膜切口的闭合通常是笨拙且耗时的。本文的目的是介绍一种闭合程序，以促进这些伤口中腹筋膜的安全逼近。方法：使用一种止血剂来可视化伤口一侧的筋膜，并将筋膜与下面的腹部内脏分开。另一个止血钳使伤口的相对侧缩回。缝线针穿过筋膜并位于止血钳的开放尖端之间。第二个止血钳的尖端抓住从动针并将其带出伤口。结论：使用两种止血剂闭合这些伤口不仅有助于闭合，而且比标准技术更安全。

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