Gastrotomy closure with a new tissue anchoring device: A porcine survival study

Figure 1 The incision is enlarged with a balloon dilator. Through the balloon we can see peritoneal structures.

Figure 2 Description of the tissue anchoring device. A: Single 18-gauge flexible needle catheter; B: Bifurcated nylon thread (“Y” shaped) with 3 small tags (2 regular tags fixed at both bifurcated distal ends and the other tag stopper at the single proximal end, which is used for tightening); C: The proximal end of the thread is fixed to the needle with a small metallic guide; D: The two distal tags are consecutively inserted into the needle; E: The needle is pulled back into the sheath inserting also the stopper tag; F: The pusher button allows releasing one tag at each side of the incision.

Figure 3 The incision looks completely sealed after the insertion of one brace-bar and the stomach is able to maintain air distension.