A Modified Surgeon's Knot: Useful for Colo-Rectal, Upper GI and Pelvic Operations

There are several techniques and variations described for tying a Surgeon's knot, all with the intention of getting a secured and square knot. A new, safe, quick and scientific approach to making a Surgeon's knot is presented here. Three basic techniques have been described in the literature for tying a Surgeon's knot: using the instrument, one-handed technique and two-handed technique. A two-handed technique for putting the initial double throw in a Surgeon's knot is described here. The number of throws can be increased as the situation demands. The basic idea is similar to the knotting steps described using an instrument, usually the needle holder. Two fingers of one hand are used in a similar fashion as the tip of needle holder in making the knot. This technique is simple, rapid and secure in making the initial double throw, and the subsequent knotting can be done as described in the literature. The advantage of this technique is that the number of throws can be increased using the same steps. This method is simpler and less time consuming compared to the existing methods.