How to close mucosal incisions?

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Rastislav Hustak
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引用次数: 0

Abstract

This article provides an overview of the techniques for closure of the mucosal entry point following advanced procedures in the third space. The outbreak of natural orifice transluminal endoscopic surgery (NOTES) has significantly impacted the treatment of various benign and malignant conditions. Reliable and secure closure of the mucosal entrance is essential for avoiding serious adverse events.

Although small defects are typically closed using through-the-scope clips (TTSCs) or over-the-scope clips (OTSCs), challenges may occur with larger or transmural defects. Alternative methods, such as specialised stitches and full-thickness suturing systems, have been developed to address these challenges with promising results. Each method has its own pros and cons, and the choice of closure technique depends on various factors such as anatomical location, endoscopist expertise, costs, and clinical context.

By understanding the technical specifications of each closure device, endoscopists can make decisions that enhance patient outcomes and minimise the risk of complications associated with the approximation of defect edges. Continued research is essential to optimise the evolution of newer closure devices and techniques for advancing NOTES.

如何缝合粘膜切口?
本文概述了在第三空间进行高级手术后关闭粘膜入口点的技术。自然腔道内镜手术(NOTES)的爆发对各种良性和恶性疾病的治疗产生了重大影响。要避免严重不良事件的发生,可靠、安全地关闭粘膜入口至关重要。虽然小的缺损通常使用镜内夹或镜外夹关闭,但较大或跨壁缺损可能会遇到困难。为了应对这些挑战,人们开发了其他方法,如专用缝合线和全厚缝合系统,并取得了可喜的成果。每种方法都有其利弊,选择哪种闭合技术取决于解剖位置、内镜医师的专业知识、成本和临床环境等各种因素。通过了解每种闭合设备的技术规格,内镜医师可以做出提高患者治疗效果的决定,并最大限度地降低与接近缺损边缘相关的并发症风险。持续的研究对于优化更新的闭合设备和技术以推进 NOTES 的发展至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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