Laparoscopic Surgical Techniques – Basic Skills and Suturing

Abstract

Laparoscopic suturing is one of the most difficult tasks in minimally invasive surgery, especially in newborns with limited space. Learning and regularly practicing certain laparoscopic techniques helps the surgeon to avoid mistakes, to shorten operation times, and to be able to use these techniques even in difficult situations. This video guides the trainee in several steps to learn these techniques showing tricks and pitfalls. In a first step, it is demonstrated how the needle is orientated in the 3-dimensional space and how the needle should be grasped. It is also shown how to guide the needle through the tissue. Principles of laparoscopic knot tying are demonstrated. An important part of the video focuses on the laparoscopic sliding knot which should be part of the repertoire of every experienced minimally invasive surgeon.