The PSSST can also be used to ligate a bleeding superior or inferior epigastric artery through which a port has been inadvertently passed.
The PSSST is inserted through that port site and the dotted orientation line placed to one side of the bleeding point. The needle and suture is inserted into the abdominal cavity as above and the needle withdrawn. The trocar is revolved so the dotted line lies at the other side of the bleeding point and the needle reinserted to retrieve the end of the suture. The suture is now around the offending artery and when the knot is tied the bleeding will stop. The other end of the artery at the opposite side of the port site will require ligating similarly.