Braided suture snared by the endoscopist
The braided suture is snared by the endoscopist and will be drawn back through the esophagus to exit through the mouth.
Method of mesh fixation
Method of mesh fixation with a suture passer. Use the suture passer to introduce the suture through the musculofascial layer, the mesh, and then back out through all layers as a mattress suture. Use four to eight mattress sutures to anchor the mesh, depen
Firing and Removing the Stapler
The stapler has been fired and removed. The staple line has been inspected for hemostasis and is being closed with a simple running suture.
Inspecting the staple line for hemostasis
After the staple line has been inspected for hemostasis, the enterotomies are closed with a running suture. (Reprinted with permission from Bogen GL, Mancino AT, Scott-Conner CE. Laparoscopy for staging and palliation of gastrointestinal malignancy. Surg
Trocar Placement
Trocar placements for distal pancreatectomy. These sites are proper for both splenic salvage and with splenectomy. There should be at least a hand’s breadth distance between trocars 1, 3, and 4. The trocar for the laparoscope should be above the umbilicus