The Challenge of Suturing Intra-Abdominally Is Not as Great as the Process

question 26

Multiple Choice

The challenge of suturing intra-abdominally is not as great as the process needed to tie and tighten the surgical knot.The knot-tying process can be achieved within or outside of the abdominal compartment.One technique uses laparoscopic grasping forceps and a laparoscopic needle holder only,and another uses the same instruments plus two obturator sleeves to push,slide,and tighten the knot into place.When sutures are tied and knotted during an open procedure,the surgeon may tie the knot with gloved fingers,called a one- or two-handed tie,or wrap the suture around the tip of a needle holder and grasp the other end of the suture to pull it through the wrapped coils;this is called an instrument tie.The intracorporeal suture technique uses the suture-tying process analogous to the:

• A) instrument tie.
• B) two-handed tie.
• C) one-handed tie.
• D) All of these techniques could be accomplished through the intracorporeal approach.