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Related Experiment Video

Updated: May 13, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

A simple and safe extracorporeal knotting technique.

Reena Kothari1, Uday Somashekar, Dhananjaya Sharma

  • 1Department of Surgery, Government Netaji Subash Chandra Bose (NSCB) Medical College, Jabalpur, India.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 13, 2013
PubMed
Summary

A novel extracorporeal knotting technique, adapted from tatting, offers a simple and safe method for laparoscopic surgery. This technique has been successfully used in over 50 cases, allowing for secure knot tying and easy adjustment.

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Area of Science:

  • Surgical Techniques
  • Minimally Invasive Surgery
  • Laparoscopic Procedures

Background:

  • Extracorporeal knotting is a valuable skill in laparoscopic surgery, serving as an interim solution for complex intracorporeal suturing.
  • A need exists for simple, safe, and easily reproducible extracorporeal knotting methods.

Purpose of the Study:

  • To introduce and describe a novel, simple, and safe extracorporeal knotting technique for laparoscopic surgery.
  • To demonstrate the applicability and advantages of this technique in clinical practice.

Main Methods:

  • The technique described is adapted from the art of tatting, utilizing a simple knotting method.
  • The procedure involves specific steps for creating and securing extracorporeal knots during laparoscopic procedures.

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Last Updated: May 13, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
05:25

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

Main Results:

  • The described knotting technique has been successfully implemented in over 50 surgical cases.
  • The technique allows for the secure tying of extracorporeal knots with the ability to add multiple knots.

Conclusions:

  • This simple and safe extracorporeal knotting technique is effective for laparoscopic surgery.
  • A key advantage is the ability to easily slide multiple knots down in a single maneuver, enhancing surgical efficiency.