New suture: tail clinch knot for transabdominal preperitoneal hernia repair.

Abstract

There is some controversy regarding the proper surgical method for inguinal hernia repair and whether transabdominal preperitoneal or totally extraperitoneal repair should be used. The greatest difference between these procedures is the need for absorbable sutures to close the peritoneal incision. The clinch knot is a kind of slip knot that is used for securing a fishing lure, hook, or swivel to a fishing line. This knot is used by fishermen and has historically proven to be secure. When a clinch knot is placed at the tail end of a suture thread, a running suture can be started without knot tying.