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The Tips and Tricks of the Suture in Urologic Laparoscopy

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Abstract

The basic principles in suturing and knotting should be learned and followed before attempting to study more complex endolaparoscopic knotting and suturing techniques. Laparoscopic square knots are to be as secure as open square knots, and there is no substantive difference in the security of laparoscopic intracorporeally and extracorporeally tied knots. The perfect needle holder should be ergonomic, light, have a hard needle grip and at the same time easy to change needle positioning. The optimal angle between the tip of the needle holder and the needle should be around 90o. For anastomosis suturing, optimal distance between trocars is 12 cm. Optimal angle between needle holders is <45o. Optimal angle between needle holders and anastomosis is 55o. Suturing in the right lateral positions of the camera is much easier for right-handed surgeons.

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Acknowledgements

Dr Zhu Qinyi, Dept of Urology, Jiansu TMC Hospital, Nanjing, China.

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Authors and Affiliations

  1. Department of Urology, Clinic for Urology and Andrology, Eskilstuna/Stockholm, Sweden

    Eugen Yuhui Wang M.D., Ph.D., FEBU

  2. Centre for Clinical Research Sörmland, Uppsala University, Kungsgata 41, 633 40, Eskilstuna, Sweden

    Eugen Yuhui Wang M.D., Ph.D., FEBU

Authors
  1. Eugen Yuhui Wang M.D., Ph.D., FEBU
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Corresponding author

Correspondence to Eugen Yuhui Wang M.D., Ph.D., FEBU .

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Editors and Affiliations

  1. Changhai Hospital, 168 Changhai Road, Shanghai, 200433, China, People's Republic

    Ying Hao Sun

  2. , Smith Institute for Urology, Long Island Jewish Health System, New York, 11040, USA

    Arthur D. Smith

  3. , Department of Urology, Chang hai Hospital, Changhai Road 168, Shanghai, 200433, China, People's Republic

    Bo Yang

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© 2012 Springer-Verlag London

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Wang, E.Y. (2012). The Tips and Tricks of the Suture in Urologic Laparoscopy. In: Sun, Y., Smith, A., Yang, B. (eds) The Training Courses of Urological Laparoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-2723-9_9

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  • DOI: https://doi.org/10.1007/978-1-4471-2723-9_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2722-2

  • Online ISBN: 978-1-4471-2723-9

  • eBook Packages: MedicineMedicine (R0)

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