Related Experiment Video
Updated: Apr 18, 2026

Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
New suture: tail clinch knot for transabdominal preperitoneal hernia repair
Kazunori Uchida1, Hiroshi Morimoto, Hirotaka Tashiro
1Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Introduction:
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.
Materials And Surgical Technique:
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.
Discussion:
When a clinch knot is placed at the tail end of a suture thread, a running suture can be started without knot tying.

