Of suture techniques in laparoscopic surgery value. Methods: 210 cases of gynecologic laparoscopic surgery application suture technique, in which laparoscopic-assisted vaginal hysterectomy in 16 cases, ovarian cysts strip 69 cases, myomectomy in 35 cases, tubal embryo incision in 45 cases, abdominal endoscopic colostomy tube forming and tube in 18 cases, laparoscopic peritoneal vaginoplasty in 2 cases on behalf of, under laparoscopic vecchietti vaginoplasty, 30 cases of uterine suspension surgery in 5 cases. 210 cases of surgery for bladder side injury, intestinal repair in 1 case. Results: 210 cases of successful completion of surgery, have reached the same results with open surgery. Conclusion: The laparoscopic chromic gut suture technique to solve the intraoperative bleeding and organ damage repair, restore anatomical and physiological functions of organs and other issues, although the operation more difficult, but to master the skill of the endoscopic suture techniques, laparoscopic surgery will enable No matter the method, or process can be achieved with open surgery on the same outcome. ① laparoscopic assisted Help vaginal hysterectomy (LAVH); edge of coagulation to cut off bilateral round ligament, fallopian tube and ovarian ligament intrinsic, coagulation of uterine arteriovenous off, 1-0 synthetic suture uterine artery and vein, vaginal Road handling remove the uterus sacral ligament after primary vaginal wall suture the wound, again endoscopic suture pelvic peritoneum, embedded stump. ② myomectomy; fibroids removed, according to the type of suture fibroids, subserosal fibroids thick, 8 suture to stop bleeding. Such as myomectomy incision deeper, muscle can be sutured, single-needle stitching or 8 suture, interval 1 ~ 2cm, endovascular or surgical knot slip knot, muscle suture, and then sutured serosa may be intermittent suture can also be a continuous suture, small incision, or light can be a serous muscular suture. ③ excision of ovarian cysts: cysts removed after 2-0 synthetic suture line break within 2 to 3-pin turn, reconstruction ovary. ④ parts of tubal pregnancy embryos incision surgery: the size according to pregnancy mass, linear cut surface of the skin tube wall 1 ~ 2cm, remove the hair or embryonic tissue, local bleeding, 3-0 synthetic tube lined with interrupted suture. ⑤ laparoscopic vecchietti vaginoplasty; made hole is successful,
Puncture lead, endoscopic suture pelvic peritoneum, to restore pelvic structures. ⑥ generation of laparoscopic peritoneal vaginoplasty; microscopic separation of the peritoneum, and the angle separating the peritoneal suture in the vagina by manual acupuncture points on the mouth of the vestibular mucosa, pelvic peritoneum with 1-0 synthetic suture line 8, off the top of artificial vagina . ⑦ tubal distal tubal angioplasty and colostomy; stenosis of the umbrella, umbrella fixed on the ovarian surface, or adhesion formation of adhesions bridge umbrella mouth were, microscopic fluid pressure through the expansion of the umbrella mouth, cut adhesions, and expand the opening, mucosal surface and serosal suture pulls out the full mucosal eversion to prevent adhesion of the fimbria hydrocephalus, separation of adhesions, coagulation coagulation needle cut 1 ~ 2cm, expansion of the closed mouth of the synthesis of mucosal eversion, 2-0 line will be sewn on the serosal layer of mucosal eversion 3 to 4 pin. ⑧ Laparoscopic suspension surgery; the use of round ligament shortening, using non-absorbable suture in the microscope, the round ligament to shorten it. ⑨ laparoscopic organ damage repair, bowel injury, non-penetrating injury, after injury to the serosa synthesis 2-0 interrupted suture line; perforation injury, endoscopic suture puncture site, a large number of normal saline intraperitoneally, wash spill of the intestinal contents, after decompression, recovery of intestinal function after removal of the tube. Bladder injury, 2-0 synthetic suture line of full-thickness bladder wall after 2-0 interrupted suture lined with synthetic line, indwelling catheter 10d. Results The group of 210 cases of laparoscopic surgery, 16 cases of LAVH technique using Foshion suture closure of uterine artery and vein, embedded pelvic peritoneum was sutured stump. 69 cases of ovarian cysts after ovarian reconstruction using inverted suture, 45 cases of tubal pregnancy embryos incision, suture using interrupted suture lined tube, 35 patients with uterine fibroids excised in addition to laparoscopic surgery, pedunculated muscle tumor 10 cases in 8 suture, 24 cases of deep intramural fibroids incision was sutured muscle, and then lined with intermittent or continuous suture. 30 cases of laparoscopic vecchietti Vaginoplasty postoperative suture the peritoneum, 2 cases of laparoscopic peritoneal vaginoplasty after 1-0 generation of synthetic line 8 suture to close the vagina top, 18 cases of tubal fimbria and tubal plasty ostomy mucosal eversion suture on the serosal layer, 5 cases of laparoscopic uterine suspension surgery with non-absorbable suture to make the round ligament shortening, laparoscopic repair the bowel, bladder in 1 case. Successful surgery, postoperative recovery was good, to achieve the same effect with open surgery, patients are required to restore reproductive anatomy and physiology of organ function.