Extracorporeal and Intracorporeal Knotting and Suturing Techniques

Abstract

Laparoscopic suturing and knotting techniques (especially intracorporeal knotting) are fundamental skills the complete laparoscopic surgeon must possess. Exclusive reliance on mechanical devices for tissue approximation restricts the surgeon to the devices’ limitations. The principles, approach, and techniques of efficient precision laparoscopic suturing and knotting techniques are described that, when mastered, result in obtaining high-quality repairs in conjunction with an improvement in the surgeon’s overall laparoscopic surgical skills.