Hasson H M
Weiss Hospital, Gyneclogic Endoscopy Center, University of Chicago, Illinois, USA.
J Am Assoc Gynecol Laparosc. 1998 May;5(2):183-5. doi: 10.1016/s1074-3804(98)80088-1.
A reusable cone suitable for use with existing laparoscopy cannulas was designed to provide means for sealing and stabilizing the operative site throughout the procedure, and for repairing the surgical site after the surgery is completed. The device consists of a moveable laparoscopic cannula cone fitted with suture holders. The cone contains tunnels terminating at its distal end that serve as passages for sutures loaded on a special needle to traverse the abdominal wall. When sutures are pulled into suture holders they stabilize the cannula and seal the puncture site. When sutures are tied at the end of the procedure, they achieve full-thickness closure of the operative site. The laparoscopic cannula cone stabilizes the cannula on the abdominal wall, maintains an air-tight seal, controls potential hemorrhage from the cannula puncture site, and achieves satisfactory closure of the surgical defect. Preliminary experience with the instrument and method has been most satisfactory.
设计了一种可重复使用的锥体，适用于现有的腹腔镜套管，旨在为整个手术过程中的手术部位密封和稳定提供手段，并在手术完成后修复手术部位。该装置由一个装有缝线固定器的可移动腹腔镜套管锥体组成。锥体包含在其远端终止的通道，这些通道用作装载在特殊针上的缝线穿过腹壁的通道。当缝线被拉入缝线固定器时，它们会稳定套管并密封穿刺部位。当在手术结束时系紧缝线时，它们会实现手术部位的全层闭合。腹腔镜套管锥体可将套管稳定在腹壁上，保持气密密封，控制套管穿刺部位的潜在出血，并实现手术缺损的满意闭合。该仪器和方法的初步经验非常令人满意。
