Textbook of Practical Laparoscopic Surgery

Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

“…2 ethibond suture, the Duncan loop, Roeder knot, Weston knot, Mishra knot and Tennessee slider all provided similar loop circumferences at 5N of preload, although the loop circumferences associated with these knots were signifi cantly larger than the loop circumference of the surgeon's knot. 7,8 Reversed half-hitches 7,8,12 Practical knot (simple version) [11][12][13] Practical knot (advanced version) [11][12][13] Nicky's knot or taut-line hitch [7][8][9][10][11][12][13][14] Giant knot 15 Modifi ed taut line hitch 15,16 Tennessee slider 13 Clinch knot 14 Roeder's knot 7,[16][17][18] Secure knot 17 Meltzer's knot 7,8,15,16 Mishra's knot 7,8,16 Duncan loop, blood slipknot, Hangman's knot, easy loop 17,18 Weston knot 18,19 SMC knot 15 Tayside knot 19 Hangman's knot 18,[20][21][22] Hangman's tie...…”

“…12 Although this locking mechanism is particularly useful in preventing the knot from sliding back, locking the knot also causes expansion of the suture loop. 7 This effect was seen in almost every knot that required a fl ipping maneuver to be locked. There has been previous classifi cation of sliding knots as either lockable or nonlockable, with lockable knots further divided into proximal locking and distal-locking knot.…”

“…Modifi cation of Roeder's knot, to make it more secure are Meltzer's and Mishra's knot. 7 Over the years, there has been the development of several extracorporeal knots. A knot should secure tissue approximation, simple, easy, quick and reliable.…”

Various Port-site Closure Techniques in Laparoscopic Surgeries

“…They include maciol needles, grice needle, catheter or spinal needles, modified veress needle with a slit made in retractable brunt tip, prolene 2/0 on straight needle aided by a veress needle, straight needle armed with suture, modified veress needle bearing a crochet hook at tip, and Veress needle loop technique. 12…”

Comparison between Robotic Radical Hysterectomy with Laparoscopic and Open Abdominal Radical Hysterectomy in the Treatment of Early Stage Cervical Cancer

“…Complex operations, such as radical hysterectomy, can be addressed in a more efficient fashion and the skills to perform this procedure are acquired not only in a shorter time but by a larger number of laparotomy surgeons who encountered difficulties with conventional laparoscopy. 4,5…”