Athermal tension adjustable suture ligation of the vascular pedicle during robot-assisted prostatectomy.

ABSTRACT:

Purpose

We report a simple figure-of-eight tension adjustable suture to ligate the vascular pedicle (VP) during robot-assisted radical prostatectomy (RARP).

Materials and methods

During nerve-sparing RARP, after the rectum has been mobilized, the VP is isolated and prepared for transection. Previous reports describe placing of hemostatic clips (metallic or Hem-o-lok™) or laparoscopic bulldog clamps (30 mm) to control and oversew the VP; both techniques are quite assistant dependent. We present a bulldog clamp alternative by placing a figure-of-eight fashion, a 6-cm 3-0 poliglecaprone on an SH needle with a small loop tied in the suture end. After the needle has been placed through the VP, it is then threaded through the preformed loop and then a small Hem-o-lok clip is place

SUBMITTER: Beck SM 

PROVIDER: S-EPMC3727628 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature