| 摘要 |
<p>A surgical instrument (20), guide (220), and method capable of being used for closure of peritoneum fascia (68), occlusion of bleeding vessels such as inferior epigastic; and for all uses relatede to accurately passing suture material (66) through a guide (220) into a tissue. A tip (54) of a surgical instrument (20) in a standard suture/needle/driving position with a sharp tip that opens, and closes with the surgeon grasping suture material with the sharp tip, is provided. Insertion of the tip/suture (54) (66) through tissue until the tip is seen through the peritoneum (68) by direct vision, the wound closing procedure begins. The suture (66) is released by opening, and withdrawing the tip (54) from the guide (220). The suture is covered by using the guide to redirect the tip, and puncturing the tissue opposite the first point of insertion. The tip grasps the suture, and pulls the suture through the guide. The suture is pulled outside the wound, providing for rapid closure of the surgical incision.</p> |
