Apparatus and method for laparoscopic urethropexy

Surgery – Instruments – Suture – ligature – elastic band or clip applier

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606144, 606232, 128898, 128DIG23, 128DIG25, A61B 1710

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056432887

ABSTRACT:
A suture retrieval tool for use in a laparoscopic urethropexy procedure is provided. The suture retrieval tool comprises a retrieving end and a handle. The retrieving end has a rigid, rod-like shaft and a sharp tip capable of penetrating periurethral tissue, whereby the retrieving end may be inserted into a vagina, through the vaginal mucosa and periurethral tissue adjacent a urethra, and into the space of Retzius, such that the retrieving end may be employed to snare a suture positioned in the space of Retzius for retrieving the suture into the vagina. The suture retrieval tool also preferably comprises a midshaft positioned between the retrieving end and the handle. In order to facilitate snaring of the suture, the retrieving end further comprises a return leg extending from the sharp tip parallel to, and spaced from the rod-like shaft, such that the return leg, the underside of the sharp tip, and the rod-like shaft define a U-shaped region capable of snaring a suture therein when this U-shaped region is pulled over a suture. A surgical method for vaginally retrieving a suture extending from an anchor secured within a bore in the pubic bone of a patient is also provided. This surgical method uses the suture retrieving tool provided herein.

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