鼻・副鼻腔手術における深部縫合結紮器の使用経験

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タイトル別名
  • The Use of a Semiautomatic Suturing Device in Nasal Surgery
  • 機器 鼻・副鼻腔手術における深部縫合結紮器の使用経験
  • キキ ハナ ・ フクビコウ シュジュツ ニ オケル シンブ ホウゴウ ケッサツキ ノ シヨウ ケイケン

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Septoplasty is one of the frequently performed surgical procedures among nasal surgeries. Sometimes suture of the mucosa of the nasal septum is necessary and useful to prevent mucoperichondrial flap perforation or hematoma. Because the mucoperichondrial flap has little tension once peeled from the septum, suturing is not technically easy. We used a Maniceps® Septum Stitch, a semiautomatic suturing device, for nasal surgery. This system was originally developed as laparoscopic suture system and was modified for nasal surgery. The system comprises a pair of forceps: a straight needle is set on a needle holder which can pass the suture through the target tissue with one motion (closing and reopening the forceps). The semiautomatic suturing system is useful to not only for suturing of the nasal septum, but also for suture medialization of the middle turbinate to the septum in endoscopic sinus surgery.<br> When using the Maniceps® Septum Stitch in the deep nasal cavity, sometimes a needle mounted at the tip of the forceps can accidentally damage the mucosa. In order to prevent such damage, we put a magnet at the side of the tip which can hold the needle parallel to the forceps. This ingenious little addition makes it easier to handle the system in the deep nasal cavity. We report herein on the practical usefulness of this semiautomatic suturing device in the nasal surgery along with the presentation of some cases, and conclude that the system makes suturing techniques in the nasal cavity easier to some extent.

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