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Product
Information
Applications
& Techniques
Contact
Pare
Surgical, Inc.
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APPLICATIONS
& TECHNIQUES
Applications In Surgery
And Gynecology Using The QUIK-STITCH
Reviewed By: James E.Carter, M.D., FACOG & Edward Felix, M.D., FACS
LIGATION - Cystic
Duct
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| A
blunt needle is used to isolate embedded structures such as the cystic
duct. |
The
needle is picked up to encircle the structure. |
The
needle and suture are withdrawn into the QUIK-STITCH cartridge. The
knot is formed and pushed into place. |
APPROXIMATION -
Uterine Bed after Myomectomy
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| Closure
of the myoma bed can be easily accomplished after removal of the myoma. |
Interrupted
sutures approximate the edges of the defect. (For
deep intramural myomas, one or more layers of interrupted sutures
are used to close the myoma bed.) |
QUIK-STITCH
locking Roeder Knots provide secure closure. |
FIXATION - Plication
of Reinforcing Mesh
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| Migration
of hernia mesh can be avoided by simple suture plication of the edges. |
A
short straight needle easily passes through the mesh weave and tissue.
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Once
formed, the locking Roeder knot is secure. It can be loosely fashioned
to maintain the flat mesh profile. |
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Plication
to Esophagus
and Wrapping Fundus
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Partial
Wrap Fundoplication
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Fixation
of Gastric Band |
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| Nissen
Fundoplication is facillitated with the 19mm needle |
Toupet
Fundoplication is a straight forward application with the QUIK-STITCH. |
Complex
anchoring of implants can be easily done with QUIK-STITCH. |
| Ligation
& Transection of Adhesions |
Ligation
of Vessels For BSO
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Closure
of Vaginal Cuff after Laproscopic Hysterectomy |
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A
QUIK-STITCH is placed distal and proximal adhesion is cut.
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Ligation
of utero-ovarian vessels is demonstrated. Two QUIK-STITCH ligatures
are placed and the vessels then devided between the sutures. |
QUIK-STITCH
is placed through the pubocervical and then the rectovagina fascia
and these are approximated to close the vaginal cuff. |
Figure
Eight Closure-
Deep Bleeder |
Tubal
Ligation |
Ligation
of Embedded Bleeder |
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| The
QUIK-STITCH is placed in a figure-of-eight fashion to close a deep
bleeding vessel. |
QUIK-STITCH
is applied around the tubal structure in two locations and the tube
devided between them. |
Bleeder
is looped while occlusion is maintained with grasper. |
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