Endoscopic Surgical Procedures
Conditions
Keywords
Endoscopic Hand Suturing, Suturing Techniques, Endoscopic Submucosal Dissection, Submucosal Tunneling Endoscopic Resection
Brief summary
Endoscopic hand-suturing (EHS) has emerged as a promising modality in gastrointestinal (GI) endoscopic procedures. The available reports regarding its effectiveness in clinical practice are limited due to the relatively recent expansion of this method. This study aims to describe the single-center experience of EHS and its outcomes.
Detailed description
Endoscopic hand-suturing (EHS) has emerged as a promising modality in gastrointestinal (GI) endoscopic procedures. The available reports regarding its effectiveness in clinical practice are limited due to the relatively recent expansion of this method. This study aims to describe the single-center experience of EHS and its outcomes. The retrospective single-center study included individuals that underwent advanced endoscopic procedures in upper and lower GI tract followed by EHS. Defined features (suturing time, suturing speed) and outcomes (postprocedural bleeding, abdominal pain) were assessed. Thirty-one patients were included in the analysis.
Interventions
PROCEDUREEndoscopic Hand Suturing
Endoscopic Hand Suturing is a technique of the wound closure after advanced endoscopic third-space resections I the upper and lower gastrointestinal tract. In this technique, the needle is held on the opposite side from the tip with the needle holder. The needle is pierced perpendicularly into the tissue at the side of the wound with an appropriate margin, then driven through the tissue with rotation and grasped at the bottom of the defect. The same steps are repeated from the middle of the wound to create a symmetrical structure.
Sponsors
Jagiellonian University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all individuals who underwent advanced endoscopic procedures followed by EHS from March 2023 to June 2024.
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Suturing time | From 1st of March 2023 to 30th of July 2024. | The time between delivering and retrieving the needle, in minutes. |
| Suturing speed | From 1st of March 2023 to 30th of July 2024. | Calculated by dividing the longitudinal length of the defect in millimeters by the suturing time in minutes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postprocedural bleeding rate | From 1st of March 2023 to 30th of July 2024. | The prevalence of the symptoms of gastrointestinal bleeding. |
Countries
Poland
Outcome results
None listed