Related Experiment Video
Updated: Apr 19, 2026

09:00
Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
2.4K
A new knot-supporting instrument and knot technique for laparoscopic surgery
Hasan Börekci1, Elif Börekci, Hakan Ak
1Department of General Surgery, Bozok University, Yozgat, Turkey. hborekci@mynet.com
Turkish Journal of Medical Sciences
|January 2, 2015
Summary
A new instrument significantly speeds up knot tying during laparoscopic surgery. This device, the B6rekci knot-supporting instrument, aids surgeons in performing the B6rekci knot technique more efficiently.
Area of Science:
- Minimally Invasive Surgery
- Surgical Instrumentation
- Laparoscopic Procedures
Background:
- Knot tying is a critical yet challenging aspect of laparoscopic surgery.
- Existing intracorporeal knotting techniques can be time-consuming and difficult.
Purpose of the Study:
- To introduce and evaluate the efficacy of the B6rekci knot-supporting instrument.
- To assess the impact of the instrument on knot-tying time in laparoscopic procedures.
Main Methods:
- Seventeen surgeons performed three knots using both the classical intracorporeal method and the B6rekci knot-supporting instrument.
- The time taken for each knot-tying method was recorded and statistically analyzed.
Main Results:
- Knot-tying time was reduced with the B6rekci knot-supporting instrument in all trials.
- A statistically significant reduction in knot-tying time was observed in the third trial (P = 0.026).
Conclusions:
- The B6rekci knot-supporting instrument offers an effective alternative for knot tying in laparoscopic surgery.
- This technique is particularly beneficial when classical intracorporeal knotting proves difficult.

