Video of Laparoscopic Pledget: A Reinforcement Tool for Hemostasis and Suture Support in Minimal Access Surgery
This video titled "Laparoscopic Pledget: A Reinforcement Tool for Hemostasis and Suture Support in Minimal Access Surgery" provides an in-depth demonstration of how pledgets are used in laparoscopic procedures to enhance the strength of sutures, reinforce repairs, and achieve secure hemostasis. At World Laparoscopy Hospital, under the guidance of Prof. Dr. R. K. Mishra, the technique of laparoscopic pledget placement is shown with clarity and precision—making this an essential educational resource for advanced laparoscopic surgeons.
What is a Laparoscopic Pledget?
A pledget is a small patch of non-absorbable (e.g., PTFE) or absorbable material used to buttress sutures and prevent them from cutting through fragile tissues. In laparoscopic surgery, pledgets are especially helpful when dealing with friable tissue, vascular surfaces, diaphragmatic repairs, and hernia mesh fixation, where additional reinforcement is required to avoid suture pull-through or bleeding.
Key Surgical Applications Demonstrated in the Video
Reinforcement of vascular sutures – Preventing tear-through in bleeding liver or splenic injuries
Support in diaphragmatic defect repair – Ensuring suture holds on muscular or fibrotic tissue
Hernia repair – Augmenting sutures in large or recurrent ventral and parastomal hernias
Urological and renal surgery – Providing added support in nephropexy or partial nephrectomy closures
Prevention of bleeding from major vessels during intracorporeal suturing near IVC, aorta, or pelvic veins
The video demonstrates the introduction of the pledget through a trocar, mounting onto the suture, and securing the stitch with appropriate tension and placement. It also covers essential tips for proper handling and positioning to prevent displacement.
Benefits of Using a Laparoscopic Pledget
Distributes suture tension evenly, reducing risk of tissue injury
Enhances hemostasis in vascular or bleeding-prone areas
Improves durability of repairs in high-tension zones
Enables secure fixation even in compromised or scarred tissues
Minimally invasive application using standard laparoscopic instruments
Material and Handling Tips
PTFE pledgets are non-absorbable and preferred for high-tension, permanent reinforcement
Gelatin or collagen pledgets can be used for temporary hemostatic support
Ensure adequate visualization and orientation of the pledget before tightening the knot
Always test the integrity of the repair before concluding the procedure
Conclusion
The use of a laparoscopic pledget represents a refined technique in advanced minimal access surgery, offering added security where standard sutures may not suffice. As demonstrated in this video from World Laparoscopy Hospital, pledget reinforcement can significantly enhance the safety, reliability, and longevity of laparoscopic repairs in complex anatomical areas.
Watch the full video to understand the indications, insertion techniques, and best practices for laparoscopic pledget use in real surgical scenarios.
Don’t forget to like, comment, and subscribe for more expert surgical tutorials and training videos from World Laparoscopy Hospital—a global leader in laparoscopic and robotic surgery education
What is a Laparoscopic Pledget?
A pledget is a small patch of non-absorbable (e.g., PTFE) or absorbable material used to buttress sutures and prevent them from cutting through fragile tissues. In laparoscopic surgery, pledgets are especially helpful when dealing with friable tissue, vascular surfaces, diaphragmatic repairs, and hernia mesh fixation, where additional reinforcement is required to avoid suture pull-through or bleeding.
Key Surgical Applications Demonstrated in the Video
Reinforcement of vascular sutures – Preventing tear-through in bleeding liver or splenic injuries
Support in diaphragmatic defect repair – Ensuring suture holds on muscular or fibrotic tissue
Hernia repair – Augmenting sutures in large or recurrent ventral and parastomal hernias
Urological and renal surgery – Providing added support in nephropexy or partial nephrectomy closures
Prevention of bleeding from major vessels during intracorporeal suturing near IVC, aorta, or pelvic veins
The video demonstrates the introduction of the pledget through a trocar, mounting onto the suture, and securing the stitch with appropriate tension and placement. It also covers essential tips for proper handling and positioning to prevent displacement.
Benefits of Using a Laparoscopic Pledget
Distributes suture tension evenly, reducing risk of tissue injury
Enhances hemostasis in vascular or bleeding-prone areas
Improves durability of repairs in high-tension zones
Enables secure fixation even in compromised or scarred tissues
Minimally invasive application using standard laparoscopic instruments
Material and Handling Tips
PTFE pledgets are non-absorbable and preferred for high-tension, permanent reinforcement
Gelatin or collagen pledgets can be used for temporary hemostatic support
Ensure adequate visualization and orientation of the pledget before tightening the knot
Always test the integrity of the repair before concluding the procedure
Conclusion
The use of a laparoscopic pledget represents a refined technique in advanced minimal access surgery, offering added security where standard sutures may not suffice. As demonstrated in this video from World Laparoscopy Hospital, pledget reinforcement can significantly enhance the safety, reliability, and longevity of laparoscopic repairs in complex anatomical areas.
Watch the full video to understand the indications, insertion techniques, and best practices for laparoscopic pledget use in real surgical scenarios.
Don’t forget to like, comment, and subscribe for more expert surgical tutorials and training videos from World Laparoscopy Hospital—a global leader in laparoscopic and robotic surgery education
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