Endoscopic Submucosal Dissection (ESD) (On-Demandl) | December 2024-Lab Demo 12

Lab Demo 12 - Closure with X-Tack

Video Transcription

Video Summary

The video demonstrates using an X-TAC device for closing mucosal defects after an extensive endoscopic submucosal dissection (ESD). Dr. Fukami employs X-TAC, which consists of screws and sutures, to close larger defects that cannot be closed with standard clips. The process involves engaging the tacks into the tissue, pulling and cinching sutures to approximate the wound edges tightly. The video emphasizes technique specifics, such as maintaining appropriate suture tension and positioning, and recommends supplementing X-TAC closures with clips for reinforced closure of large defects.

Keywords

X-TAC device

mucosal defects

endoscopic submucosal dissection

sutures and screws

wound closure technique