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On the Difficulty of Suturing Laparoscopically

“I teach laparoscopic surgery.  I have a lot of people who just absolutely avoid knot tying because it is the most difficult ... part of laparoscopic surgery.  Not the hysterectomy, just the simple knot tying, is what most people try to avoid.”

Minimally-invasive Gynecologic Surgeon, Thomas Jefferson University Hospital, Philadelphia, PA

“In laparoscopy, it is difficult to suture.”

Gynecologist, Main Line Health, Wynnewood, PA

“90% of gynecologists can’t tie a [suture] knot.” 

Minimally-invasive Gynecologic Surgeon, Henry Ford Health System, Detroit, MI

“The most difficult part of the procedure is closing the cuff.” 

Minimally-invasive Gynecologic Surgeon, Women’s Health East Aurora, East Aurora, NY

“The greatest struggle in laparoscopy is closing the vaginal cuff.” 

Obstetrician-gynecologist, Virtua Health, Mount Holly, NJ

“Closing the vaginal cuff is a real problem. Anyone who says they don’t have dehiscences isn’t doing many hysterectomies.” 

Obstetrician-gynecologist, Birmingham, AL

“Improving closure time for vaginal hysterectomy is an important issue.” 

“The issues of closure and adhesions are huge.”

Obstetrician-gynecologist, Charleston, WV

“The growth in supracervical hysterectomy has been due to people not being able to sew the vaginal cuff closed.” 

Minimally-invasive Gynecologic Surgeon, Henry Ford Health System, Detroit, MI

“For me, closure of the cuff is the main problem.” 

Obstetrician-gynecologist, Chester County Hospital and Health System, West Chester, PA

"I can do laparoscopic knot tying. I hate it. So, I would do a lot to avoid laparoscopic knot tying." 

Minimally-invasive Gynecologic Surgeon, Main Line Health, Paoli, PA

“The only cause of variable dehiscence rates [in hysterectomy] is poor suturing of the vaginal cuff.” 

Gynecologic Oncologist, Redwood City, CA

“The frustrating part is I spend a lot of time teaching residents, and then contact them later... One person has tried tying, and everybody else has not, after teaching hundreds of residents.” 

Minimally-invasive Gynecologic Surgeon, Thomas Jefferson University Hospital, Philadelphia, PA

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Reactions to Zip-Stitch

“This was quicker than suture. It’s efficient and gets the job done.”

Gynecologic oncologist, Mon Health, Morgantown, WV

“The OR staff are going to be kissing your feet.”

Gynecologist, Sentara Health, Virginia Beach, VA

“[Zip-stitch] is obviously going to have a shorter learning curve than sutures.”

OB/Gyn, Novant Health, Winston-Salem, VA 

“In a 'straight stick' [laparoscopic] case, the [Zip-Stitch] clips are better than sutures… more efficient, and will reduce post-operative bleeding.”

Obstetrician-gynecologist, Main Line Heath, Wynnewood, PA

“I like it. If you bring it to my clinic, I will use it.”

Minimally-invasive Gynecologic Surgeon, Women’s Health East Aurora, East Aurora, NY

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Zip-stitch is restricted by Federal Law to Investigational Use.

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