RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162529531
T1 Minimally Invasive Suturing and Knot Tying
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162529531
RD 2024/04/18
AB In  laparoscopic  and  thoracoscopic  surgery,  suturing  and  knot  tying  are  considered  difficult  skills,  leading  to  billions  of  dollars  of  technology  development  to  make  suturing  easier  for  the  surgeon.  The  primary  problem  begging  solution  is  the  loss  of  the  wrist  in  laparoscopic  instruments.  The  only  technology  to  have  adequately  solved  this  engineering  problem  is  the  surgical  robot,  but  this  multimillion-dollar  solution  is  unnecessary  for  the  bulk  of  suturing  tasks  encountered  in  minimally  invasive  surgery.  Simple  suturing  and  knot  tying  without  robots,  articulated  needle  holders,  or  “instant”  knots  can  be  learned  in  a  simulator  with  the  investment  of  a  few  hours.  Mastery  of  these  techniques  may  take  more  time,  so  practice  in  a  simulator  or  box  trainer  is  advised.  It  is  preferable  to  ascend  the  suturing  and  knotting  learning  curve  in  a  simulator,  rather  than  wasting  valuable  time  in  the  operating  room.  No  professional  athlete,  pilot,  or  concert  musician  learns  their  skill  without  hours  of  practice  “off  stage.”  As  surgeons,  our  obligation  to  our  patient  requires  similar  practice  outside  of  the  operating  room.  By  convention,  descriptions  in  this  section  are  written  for  the  right-hand-dominant  surgeon.