A Simple and Safe Extracorporeal Knotting Technique

Abstract

Herein described is a simple, safe extracorporeal knotting technique.

Simple Extracorporeal Knot-Tying Technique in Minimal Access Surgery

“…However they are often associated with mechanical failures and application difficulties, a long learning curve, fraying of sutures, user errors, increased cost, and reduced haptic feedback.As a result a number of variants without using specialized knotpushers have been attempted for pushing an extracorporeally tied knot to a deeper location. Modified knot pushers, 1 hemostats, 2 or a right-angled forceps 3 and intravenous cannulas 4 have all been used to push the extracorporeally tied knot to a deeper plane. However the obvious disadvantage common to all the above techniques is that the suture is held directly by the metal hemostatic forceps, which leads to fraying in braided suture material and suture breakage in monofilament sutures like prolene.…”

Intracorporeal vs. extracorporeal open and closed knot tying techniques in laparoscopy: A randomized, controlled study

“…Additionally, the surgeon experiences less tactile sensation in terms of the tension applied to the tissue and the knot [ 13 ]. By comparison, extracorporeally tied knots are technically easier to achieve [ 14 ]. However, in pulling long lengths of suture through the needle tract, the tissue may be affected, and attempts to push the knot into position may exert excessive tension on the tissue [ 15 ].…”

Comparative Effectiveness of Endoloop, Instrumental Tie and Ligaclip in Laparoscopy Appendectomy

“…The previous alludes with the impacts of delayed sedation because of expanded usable time, iatrogenic injury, and reoperations for the deficient conclusion (e.g., stapler breakdown, circle disappointment, cut dislodgement), while the last refers to equipment costs per mediation and the expenses of longer methods (essentially decreased time for different tasks), delayed medical clinic stay, and cost of artful disease. Although, different examinations have been distributed contrasting the expenses and clinical results of these methodologies, this one is significant because it investigates four significant techniques for affixed stump conclusion in a randomized clinical four-arm preliminary 5,[7][8][9] .…”

“…Concerning the utilization of a solitary ligature versus two ligatures, contemplates discovered no genuinely huge distinction in the rate of postoperative confusions between the two choices; as it may be that the proof given by these investigations was of bad quality, as none of them incorporated into a randomized preliminary. Delibegovi and Mehmedovic utilized a solitary Vicryl circle ligature at the base and another at the distal end, which is then taken out using the appendix 6,9,10 .…”