A novel needle holder for suturing in a deep and narrow surgical field: a technical note

Author:

Sato Atsushi1,Hongo Kazuhiro1,Sasaki Tetsuo1,Murase Hiromu1,Ogiwara Toshihiro2,Horiuchi Tetsuyoshi2

Affiliation:

1. Division of Neurosurgery, Ina Central Hospital, Ina; and

2. Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan

Abstract

Microvascular anastomosis is a standard procedure in neurosurgery that is applied to various lesions, such as those of ischemic disease and moyamoya disease. The depth of an anastomosis can be superficial or deep. At deeper sites, the procedure becomes challenging, as the operative field is usually narrow. Among the anastomotic approaches, suturing is the most challenging in a limited and deeper field. Additionally, since the suturing device is inevitably long, the delicate procedure becomes challenging. To overcome this technical difficulty and suture more efficiently, even in a narrow and deep field, the authors developed a needle holder, the REVOLD-HS, that allows rotational motion without moving the holder. This new needle holder is uniaxial and allows the forceps at the tip to be manipulated by operating the rotor in the hand. There is a mechanism for opening, closing, and rotating the holder via the surgeon’s finger without moving the holder. Based on suture experiments in simulated blood vessels while using the holder, some situations may necessitate the use of this needle holder. This novel smart device may assist in deep vascular anastomosis in microsurgery, suturing of the carotid artery in carotid endarterectomy, and dural repair in endoscopic surgery.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Genetics,Animal Science and Zoology

Reference7 articles.

1. Transoral transclival clipping of anterior inferior cerebellar artery aneurysm using new rotating applier. Technical note;Crockard HA,1991

2. The new aneurysm clip system for particularly complex aneurysm surgery: technical note;Krammer MJ,2010

3. A new flexible and 360° rotating shaft needle-holder for microneurosurgery: technical note;Menovsky T,2011

4. NeuRobot: telecontrolled micromanipulator system for minimally invasive microneurosurgery-preliminary results;Hongo K,2002

5. Master-slave robotic platform and its feasibility study for micro-neurosurgery;Mitsuishi M,2013

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