2758 Easy-to-Master Slipknot

Abstract

Video Objective In laparoscopic intracorporal knot tying, we have to ligate securely in the limited space. The slip knot technique is useful in these situations. I will show the key and logic of slip knot using a two-color suture, and some techniques. Setting The procedures to perform slip knot are as following: Firstly, you make a square knot by two opposite half knots consisted of one clockwise and the other counter-clockwise. Then, you can push and slide the “unlocked” square knot toward the ligation point and secure the tissues. “Unlocked” means the state of which the square knot is slidable, and keeping this state is the secret of slip knot. A two-color suture is helpful to understand this state. Various slip knot techniques are below: 1) Standard slip knot. This is the basic way, an unlocked square knot is slid to the ligation point. 2) Loose one-hand slip knot. As a square knot is unlocked and loose, you can tie the knot by pulling the long tail one-handed. 3) In case of the locked knot. You should pull the long tail and release the knot before you slide it. 4) Pulling the short tail. You can also tie the knot by pulling short tail in theory. 5) Knot tying combined with surgeon's knot. You can alter the first opposite half knot to double half knot. To get your slip knot more smoothly and quickly, you should manage the suture near the knot, omit the time and effort for catching the suture of second opposite half knot. And training never cheats on you. Interventions N/A Conclusion These techniques can help your operation get better definitely.