ASGE/JGES Advanced ESD (Live and Virtual)| July 14-15 2023-Lab Hands-On Virtual Demonstration Part 5

Video Transcription

Video Summary

In this video, a doctor demonstrates the closure of a large defect using an overstitch endoscopic suturing device. The doctor begins by making the first bite and then transferring the needle to the opposite side, ensuring the goal of no dog ears. The doctor explains the importance of following the proper direction for closure, especially in areas like the colon or esophagus. The doctor also emphasizes the need to suture by eliminating any crisscrossing of the sutures. The doctor demonstrates how the closure process gradually reduces the size of the incision. The doctor also discusses controlling the volume of air inside and explains the importance of taking a submucosa bite for the strongest closure. The doctor performs the closure using the overstitch device and highlights the efficiency and precision of the suturing technique. The doctor completes the closure and deploys the cinching mechanism to secure the sutures in place. The doctor showcases the effectiveness of the suturing device and discusses its advantages over clip-based closures. The doctor then moves on to demonstrating the use of track motion device for mucosal incision and submucosal dissection. The doctor explains the importance of creating a submucosal cushion and demonstrates how the track motion device allows for easy and controlled traction. The doctor completes the dissection and removes the lesion. The doctor concludes by discussing the convenience and usability of both the track motion and overstitch devices. The doctor also emphasizes the importance of training and experience for using the devices effectively.

Keywords

doctor

closure

overstitch endoscopic suturing device

colon

esophagus

suture technique

submucosa bite

efficiency

precision