Endoscopic fascial closure systems and methods for using same
A system for closure of a fascial opening is disclosed. The system may include a first capture device for pulling one end of a suture through fascial tissue on one side of a fascial opening, and a second capture device for pulling an opposing end of the suture through the fascial tissue on an opposite side of the fascial opening. A trapping device for locating and engaging the first capture device can be used, prior to the capture device being pulled through the fascial tissue, so that the trapping device can subsequently pull the suture to facilitate closure of the fascial opening. Methods and apparatuses for closure of a fascial opening are also disclosed.
1. A method for closure of a fascial opening comprising:
positioning a suture below a fascial opening;
accessing, through fascial tissue on opposing sides of the fascial opening via first and second incisions in the body of a patient, one end of the suture with a first device for grasping the suture, and an opposing end of the suture with a second device for grasping the suture, respectively;
pulling the opposing end of the suture through the fascial tissue on a second of the opposing sides of the fascial opening with the second device and through the second incision;
directing a separate trapping mechanism into the body through the second incision, and advancing the trapping mechanism across the fascial opening and towards the first device;
pulling the one end of the suture with the first device through the fascial tissue on a first of the opposing sides of the fascial opening and through a distal portion of the trapping mechanism;
retracting the trapping mechanism through the second incision and outside of the body of the patient for subsequent tying of the suture.
2. A method as set forth in claim 1 , further comprising tying the ends of the suture together to form a knot to hold the fascial opening in a closed position.
3. A method as set forth in claim 2 , further comprising pushing the knot into the body of the patient through the second incision and toward the fascial opening in order to impart tension on the suture at the site of the fascial opening.