EndoSew<sup>™</sup>: New Device for Laparoscopic Running Sutures

Brehmer, Bernhard; Moll, Clemens; Makris, Antonios; Kirschner‐Hermanns, Ruth; Knüchel, Ruth; Jakse, G.

doi:10.1089/end.2007.0055

Cited by 12 publications

(9 citation statements)

References 17 publications

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“…Similar to this work, the efficacy of automated anastomotic devices has been assessed in heart surgery [15][16][17][18] and endourology [19]. Although based on different technical principles, shortening the duration of anastomosis is the main advantage.…”

Section: Discussionmentioning

confidence: 84%

Automation of a suturing device for minimally invasive surgery

et al. 2011

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Section: Discussionmentioning

confidence: 84%

Automation of a suturing device for minimally invasive surgery

et al. 2011

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“…The EndoSew ® device was developed by Karl Storz GmbH & Co. KG (Tuttlingen, Germany) to perform minimally invasive intracorporeal running sutures and has previously been described by Brehmer et al [14]. So far, only prototypes exist and clinical testing is limited to European countries.…”

Section: Methodsmentioning

confidence: 99%

“…Mechanical sewing devices using resorbable suture material would simplify the demanding sewing part of reconstructive urological surgery and decrease potential complications. Recently, a novel prototype sewing device for laparoscopic use, the EndoSew ® , was introduced in a pig experimental model and was shown to reduce suturing time 2.4-fold [14]; however, porcine ileum is different from human ileum and animal experiment results may not be directly transferred to the human setting, especially when suturing the entire ileal wall encompassing the mucosa, as performed by EndoSew ® . We therefore prospectively evaluated the feasibility and safety of EndoSew ® in placing a watertight running suture, applying an open technique, in a series of 10 consecutive patients undergoing ileal conduit.…”

Section: Introductionmentioning

confidence: 99%

Novel prototype sewing device, EndoSew^®, for minimally invasive surgery: an extracorporeal ileal conduit construction pilot study in 10 patients

et al. 2013

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What's known on the subject? and What does the study add?• The EndoSew ® prototype was first tested in a porcine model several years ago. The investigators found it both simple to master and reliable, its greatest advantage being a 2.4-fold time saving compared with straight laparoscopic suturing. In addition to that publication, there is a single case report describing the performance of an open EndoSew ® suture to close parts (16 cm) of an ileal neobladder. The time for suturing the 16 cm ileum was 25 min, which is in line with our experience. The knowledge on this subject is limited to these two publications.• We report on the first consecutive series of ileal conduits performed in humans using the novel prototype sewing device EndoSew ® . The study shows that the beginning and the end of the suture process represent the critical procedural steps. It also shows that, overall, the prototype sewing machine has the potential to facilitate the intracorporeal suturing required in reconstructive urology for construction of urinary diversions. Objective• To evaluate the feasibility and safety of the novel prototype sewing device EndoSew ® in placing an extracorporeal resorbable running suture for ileal conduits. Patients and Methods• We conducted a prospective single-centre pilot study of 10 consecutive patients undergoing ileal conduit, in whom the proximal end of the ileal conduit was closed extracorporeally using an EndoSew ® running suture. • The primary endpoint was the safety of the device and the feasibility of the sewing procedure which was defined as a complete watertight running suture line accomplished by EndoSew ® only. Watertightness was assessed using methylene blue intraoperatively and by loopography on postoperative days 7 and 14.• Secondary endpoints were the time requirements and complications Յ30 days after surgery. Results• A complete EndoSew ® running suture was feasible in nine patients; the suture had to be abandoned in one patient because of mechanical failure.• In three patients, two additional single freehand stitches were needed to anchor the thread and to seal tiny leaks. Consequently, all suture lines in 6/10 patients were watertight with EndoSew ® suturing alone and in 10/10 patients after additional freehand stitches.• The median (range) sewing time was 5.5 (3-10) min and the median (range) suture length was 4.5 (2-5.5) cm.• There were no suture-related complications. Conclusions• The EndoSew ® procedure is both feasible and safe.• After additional freehand stitches in four patients all sutures were watertight.• With further technical refinements, EndoSew ® has the potential to facilitate the intracorporeal construction of urinary diversions.

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“…However, these suture mat erials can be also effectively used in combination with mechanical suturing devices 50 . 51 . The concept has been successfully tested during extracorporeal construction of an ileal conduit in 10 patients; however, in four patients additional freehand stitches were necessary 52 .…”

Section: Shield Releasementioning

confidence: 99%

Advances in laparoscopic surgery in urology

Rassweiler

Teber

2016

Nat Rev Urol

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In the past 10 years, laparoscopy has been challenged by robotic surgery; nevertheless, laparoscopic techniques are subject to continuous change. Ultrahigh definition is the next development in video technology, it delivers fourfold more detail than full high definition resulting in improved fine detail, increased texture, and an almost photographic emulsion of smoothness of the image. New 4K ultrahigh-definition technology might remove the current need for the use of polarized glasses. New devices for laparoscopy include advanced sealing devices, instruments with six degrees of freedom, ergonomic platforms with armrests and a chest support, and camera holders. A manually manipulated robot-like device is still at the experimental stage. Robot-assisted surgery has substantially revolutionized laparoscopy, increasing its distribution; however, robot-assisted surgery is associated with considerable costs. All technical improvements of laparoscopic surgery are extremely valuable to further simplify the use of classical laparoscopy.

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EndoSew^™: New Device for Laparoscopic Running Sutures

Cited by 12 publications

References 17 publications

Automation of a suturing device for minimally invasive surgery

Automation of a suturing device for minimally invasive surgery

Novel prototype sewing device, EndoSew^®, for minimally invasive surgery: an extracorporeal ileal conduit construction pilot study in 10 patients

Advances in laparoscopic surgery in urology

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EndoSew™: New Device for Laparoscopic Running Sutures

Cited by 12 publications

References 17 publications

Automation of a suturing device for minimally invasive surgery

Automation of a suturing device for minimally invasive surgery

Novel prototype sewing device, EndoSew®, for minimally invasive surgery: an extracorporeal ileal conduit construction pilot study in 10 patients

Advances in laparoscopic surgery in urology

Contact Info

Product

Resources

About

EndoSew^™: New Device for Laparoscopic Running Sutures

Novel prototype sewing device, EndoSew^®, for minimally invasive surgery: an extracorporeal ileal conduit construction pilot study in 10 patients