Laparoscopic suturing: effect of instrument handling on suture strength

Simon V Bariol, Grant D Stewart, David A Tolley

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

In open surgery, handling of suture at any position other than the end is discouraged because of evidence that handling deforms and weakens the material. The limited operative field of laparoscopic surgery necessitates repeated instrument handling of suture, and the effect of such handling has not been investigated. We assessed the effect of trauma imposed on various suture materials by laparoscopic needle holders and forceps. Also, the ideal suturing technique (interrupted v continuous) according to the physical characteristics of the suture material and the optimal length for laparoscopic sutures were determined.
Original languageEnglish
Pages (from-to)1127-33
Number of pages7
JournalJournal of Endourology
Issue number9
Publication statusPublished - Nov 2005

Keywords / Materials (for Non-textual outputs)

  • Dioxanes
  • Laparoscopy
  • Materials Testing
  • Polyesters
  • Polyglactin 910
  • Surgical Instruments
  • Suture Techniques
  • Sutures
  • Tensile Strength


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