Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн

93 страница из 232

ssss1 Numerous needle configurations can be used for intracorporeal suturing. In general, whereas shorter needle arcs allow easier needle retrieval, longer needle arcs facilitate working where access is limited.

ssss1 Barbed suture has greatly facilitated intracorporeal continuous suturing in veterinary medicine.

Two of the most difficult aspects of intracorporeal suturing are square knot formation and to maintain suture tension during continuous pattern suturing. The incorporation of barbed suture technology into MIS has made a significant impact in alleviating these difficulties (ssss1). Barbed suture are knotless but also carries the advantage of multiple fixation points and tension distribution over the entire incision. The latter feature greatly enhances the strength of the repair [11]. In fact, even when cut at several sites, barbed suture can maintain the integrity of a closure [12]. Barbed suture technology has increased the number of clinical applications of intracorporeal suturing in small animal MIS (ssss1).