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The suture made through an endoscopic tube presents many difficulties, because the field of operation is limited and the spot which must be stitched lies at considerable depth. By using a new technic it is possible to find a solution of this problem. A new instrument for automatic suturing in the deep parts has been designed and constructed. This instrument is for use through a special endoscopic tube provided with a mechanism which enlarges its working lumen and gives more space for the manipulation of instruments. The new instrument (figure A) reminds one of an endoscopic forceps with a thin needle at the end and a finger piece at the handle.
The endoscopic tubes, especially favorable for manipulation with an endoscopic suture forceps, are of two types: (1) the expanding bronchoesophagoscope designed by me and (2) the endoscopie tube provided with a slot-shutter mechanism, which enlarges the operative field and
MATIS EI. METHOD OF SUTURING THROUGH AN ENDOSCOPIC TUBE. Arch Otolaryngol. 1941;33(2):316–317. doi:10.1001/archotol.1941.00660030319015
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