endoscopy through PEG
Retrograde Gastroplicature - Final Effect
The gastroplicature was finished. (Retrograde Gastroplicature) A Trans-Gastric-Trasfistula post Gastrostomy, Retrograde suturing of the cardias. The flexible Ti-Knot Device has been placed the titanium...
Ti-Knot Device - Passage Through Overtube
The flexible Ti-Knot Device is being passed to the over-tube to will perform the knot.
Ti-Knot Device - Preparation
Flexible Ti-Knot Device. The flexible Ti-Knot Device will be use to place the titanium clip throughout 2 treads to perform the knot.
Withdrawal Of The Needle Through Mouth- Gastroplicature
Withdrawal of the semicircular surgical needle throughout the mouth. Due to the protection of the over-tube there is no danger of injuries that could be caused by the needle.
Withdrawal Of The Needle Through Overtube- Gastroplicature
The semicircular needle is withdrawn throughout the over-tube.
Retrograde Gastroplicature - Suturing - 3/3
In this video image it is observed the joint of two tissues, which will be knotted.
Retrograde Gastroplicature - Suturing - 2/3
And by the same maneuver we finished the gastroplicature.
Retrograde Gastroplicature - Suturing - 1/3
We proceeded to perform the stitches and our new technique. And with the mouth-esophagus-stomach endoscopy in retroflexion the procedure is observed.
Introduction Of The Needle Holder Into The Gastrostomy...
The neddle holder is introduced throughout the fistula.
Modified Needle Holder For Gastroplicature -...
A modified laparoscopic needle holder. In the working table a needle holder is observed which previous was enlarged from 30 cm to 70 cm. We used this modified laparoscopic needle holder to perform...
Modified Needle Holder For Gastroplicature -...
A modified laparoscopic needle holder is observed. Due to doubles between the over-tube and the injuries it was necessary to replace the malleable instrument by the needle holder which has better...
Passage Of The Needle With Thread Through The...
The malleable instrument that it contains a magnet it helps the passage of the semicircular surgical needle through the over-tube.
Passage Of The Needle With Thread Through The...
The passage of the semicircular needle with its respective nylon is observed, also are observed wires in form of spirals of the over-tube. Endoscopic image obtained from the gastric camera by the...
Paggage Of The Needle With Thread Through The...
A semicircular surgical needle with nylon thread is introduced through the over-tube helped with an object specially designed of malleable consistency with a magnet in the tip.
Mouthpiece For Retrograde Gastroplicature
An over-tube was placed to be able to pass our rigid and maleables clamps. Now we are ready to perform another technical novelty. A Trans-Gastric-Trasfistula post Gastrostomy, Retrograde suturing...
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