Abstract
An intracorporeal knot can be tied using instruments, employing a method that mimics the actions of the hooked index finger as used in the one‐handed, hand tie, of open surgery. The short end of the suture, when held in the instrument jaws, can be looped around the bite section of the suture. This rotation is facilitated by a spiral spur member, which is affixed to the instrument jaw, and which captures the bite. For maximum efficiency one uses paired left and right instruments, where the spiral spurs are directed clockwise and anticlockwise, respectively. Instrument rotation and minimal instrument transfers are required for this technique. The surgical half‐hitch can be created by two entirely different actions, the instrument‐ or the hand‐tied method. Each of these methods could be considered to be the converse of the other. Ergonomically designed instruments are essential for laparoscopic surgery. A role for instrument axial rotation is recognized and extended in this new method of laparoscopic knot tying. This novel technique contrasts with all known knotting methods.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
