Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery  2012;24(2):59-63

Simplified suturing method using Hem-o-lock in two port laparoscopic myomectomy.

Seo Hee KIM 1 ; Chel Hun CHOI ; Byoung Gie KIM ; Duk Soo BAE

Affiliations

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Keywords

Laparoscopoy; Myomectomy; Suture; Hem-o-lock

Country

Republic of Korea

Language

English

Abstract

The hem-o-lock is useful tools for the laparoscopic surgeon. We herein describe a simplified technique for suturing and knotting technique using hem-o-loc. After enucleation of the myoma, uterine parenchymal defect was closed laparoscopically using a 1-0 vicryl suture on a needle, also prepared with a hem-o-lock. Before suturing, the vicryl is tied up with hem-o-loc on the tail of continuous suture that is start point of suture site. Once the suture is passed, a hem-o-loc is used to cinch it down on the suture site and secure the knot tightly. All sutures can be completed with just one suture, continuously. We experienced no major surgical complication.