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Published in: Surgical Endoscopy 3/2006

01-03-2006

A groundbreaking new suturing device

The Excalibur

Authors: K. Uchida, N. Haruta, H. Tanji, M. Okajima, T. Naitoh, K. Kasama, M. Matsuda, M. Yamamoto

Published in: Surgical Endoscopy | Issue 3/2006

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Abstract

Background

Laparoscopic knot tying can be stressful. We reported two simple techniques, known as the Thumbs up! knot and the Tornado knot. We have further refined these procedures with the development of a new needle holder, called the Excalibur suturing needle holder.

Materials

This forceps differ from most conventional forceps in that the hinge is designed to stick out. The large hinge is stored out of the way when the forceps are closed, to prevent the thread accidentally catching.

Results

The thread is hooked on the projected hinge, which resembles the heel of a high-heel shoe. By using this forceps, the laparoscopic knot tying becomes easier for not only well experienced but also less experienced surgeons.

Conclusions

The Excalibur, with its high heel, can complete knots with simple straight-line motion, making knot tying easier. This forceps will help reduce the stresses associated with intra-corporeal knot tying.
Literature
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go back to reference Szabo Z, Hunter J, Berci G, Sackier J, Cuschieri A (1994) Analysis of surgical movements during suturing in laparoscopy. Endosc Surg Allied Technol 2: 55–61PubMed Szabo Z, Hunter J, Berci G, Sackier J, Cuschieri A (1994) Analysis of surgical movements during suturing in laparoscopy. Endosc Surg Allied Technol 2: 55–61PubMed
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go back to reference Uchida K, Haruta N, Okajima M, Matsuda M, Yamamoto M (2005) Mutimedia article: the keys to the new laparoscopic world. Thumbs up! knot and tornado knot. Surg Endosc Epub in press Uchida K, Haruta N, Okajima M, Matsuda M, Yamamoto M (2005) Mutimedia article: the keys to the new laparoscopic world. Thumbs up! knot and tornado knot. Surg Endosc Epub in press
Metadata
Title
A groundbreaking new suturing device
The Excalibur
Authors
K. Uchida
N. Haruta
H. Tanji
M. Okajima
T. Naitoh
K. Kasama
M. Matsuda
M. Yamamoto
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0569-8

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