The ring-pull at the tail of endoloop is larger than others, so it could be conveniently connected and removed the endoloop with the delivery system during the purse-string suture
. This study reported that TSR and CSR, with the improved purse-string suture
technique using single-channel endoscope, were 94% and 100%, respectively, the mean closure time was 18 [+ or -] 5 min, and all wounds were healed in 3 months after the procedure.
Sanada, "Laparoscopy-assisted esophagoenteral anastomosis using endoscopic purse-string suture
instrument "Endo-PSI (II)" and circular stapler," Gastric Cancer: Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, vol.
Stegmayr, "Paramedian insertion of Tenckhoff catheters with three purse-string sutures
reduces the risk of leakage," Peritoneal Dialysis International, vol.
This manoeuvre however would not have helped in our patient, as it was the PAC sheath that was caught in the caval purse-string suture
. As far as we are aware, this complication has not been reported before.
He urged caution in adopting the new procedure, which has "several pitfalls." Misapplication of the purse-string suture
can result in a full-thickness resection of the rectal wall and subsequent rectovaginal or anovaginal fistula.
There is a variation of this procedure: Perform a separate anterior and posterior colporrhaphy, with two purse-string sutures
used to approximate the anterior and posterior segments, thus obliterating any dead space.
Suture the edges of the pubocervical fascia and the rectovaginal septum with a purse-string suture
using 0-sized Vicryl or Dexon absorbable suture.
Placement of an absorbable purse-string suture
for sheath interruption during the NSV procedure is described.
Khanna et al.16 described that a purse-string suture
reinforced with Teflon pledgets through the aortic wall above the proximal suture line can prevent bleeding.
* simple closure of the peritoneum with a purse-string suture
(n = 34), with none of the uterosacral-cardinal ligaments incorporated into the repair.
To incorporate a McCall's culdoplasty/vault suspension to ensure support prophylactically or therapeutically, shorten the uterosacral ligaments using a permanent purse-string suture
of each of the uterosacral ligaments.
The purse-string suture
is drawn tight, bringing redundant rectal mucosa and some hemorrhoidal tissue into the stapler head.