A Comparison of Knot Security of Commonly Used Hand‐Tied Laparoscopic Slipknots

Shettko, Donna L.; Frisbie, David D.; Hendrickson, Dean A.

doi:10.1111/j.1532-950x.2004.04072.x

Cited by 32 publications

(23 citation statements)

References 10 publications

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“…A 4S modified Roeder knot was chosen as it was simple to apply in field conditions, could be pre-tied and has been reported previously as having the highest mean peak force to failure compared to modified Roeder, Weston and Brooks laparoscopic slip-knots (Shettko et al 2004). In the same publication 1 polyglyconate (Maxon) was reported to be associated with a greater mean force to failure than 1 polydioxanone (PDS).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of common vaginal tunic ligation during field castration in draught colts

Carmalt¹,

Shoemaker

Wilson

2008

Equine Veterinary Journal

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The objective of this study was to determine if ligation of the common vaginal tunic could prevent or reduce the incidence of omental herniation and eventration in draught colts undergoing routine field castration. It was found that common vaginal tunic ligation, while not completely preventing omental herniation and evisceration, significantly reduced the incidence of these complications and should be considered in those males deemed at increased risk of significant post castration complications.

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Section: Discussionmentioning

confidence: 99%

Evaluation of common vaginal tunic ligation during field castration in draught colts

Carmalt¹,

Shoemaker

Wilson

2008

Equine Veterinary Journal

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“…If hand‐tied ligatures were of equal or greater security than commercially available ligatures they would be of interest because of cost savings and the ability to make them of appropriate size for use in equine laparoscopy. Shettko et al 2 compared sutures of various sizes for tying laparoscopic slip knots. To our knowledge, comparisons of hand‐tied slipknots and commercially available ligature loops have not been reported.…”

Section: Introductionmentioning

confidence: 99%

A Mechanical Study of Ligature Security of Commercially Available Pre‐Tied Ligatures Versus Hand Tied Ligatures for Use in Equine Laparoscopy

et al. 2006

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“…A knot to secure tissue approximation, which would be hand-made, secure, simple, easy, quick, reliable and extracorporeal without extra mechanical devices constitute the essence of surgical practice because an unreliable suture knot can spoil the outcomes of an otherwise beautifully performed surgical procedure. 17 Optimization of both knot security and loop security 3,11,22,23 for any given knot is critical, and recommendations regarding a specifi c knot should not be made without taking both characteristics under consideration.…”

Section: Resultsmentioning

confidence: 99%

Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

Akindele¹,

Fasanu²,

Mondal³

et al. 2014

WJOLS

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Background: Laparoscopic knot tying is a basic surgical skill that has been practiced for centuries having their roots in fi shing and sailing. 1-4 The advent of endoscopic surgery placed more challenges on the surgeons and this ever growing skills need to be acquired. Since endoscopic and arthroscopic knots must be delivered over a distance to a tissue with minimal access maintaining tension is more important than the knot confi guration chosen. 5,6 The aim of this article review is to determine which hand tied knot confi guration and possibly, suture size, and suture type that would be safe in laparoscopic surgery. Materials and methods: A literature review was performed using PubMed, Springerlink, Highwire press and search engines like Google and Yahoo. The following search terms were used: extracorporeal knot, arthroscopic knots, Roeder's knot, Meltzer's knot, Mishra's knot, Duncan knot, Nicky's knot, SMC knot, Weston knot and Tennessee extracorporeal knot. A total of 48,100 citations were found. Selected papers were screened for further references. Publications that featured illustrations of sliding knots with statistical methods of analysis were selected. More than 20 different sliding knots were used for this review. Result: Eighty-one articles were reviewed. Most studies have evaluated knot security only and few studies have evaluated simultaneous both loop and knot security and also only a few compared knot and loop securities to the type of suture materials and their sizes. The addition of three RHAPs improves knot security of all sliding knots tested and improves the loop security of most of the sliding knots tested. Conclusion: The safety of extracorporeal knot depends on knot confi guration, especially when further RHAPs are included.

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A Comparison of Knot Security of Commonly Used Hand‐Tied Laparoscopic Slipknots

Abstract: The 4S-modified Roeder slipknot using 1 polyglyconate has the greatest breaking strength of sutures tested and should be considered when performing laparoscopic ligatures.

Cited by 32 publications

References 10 publications

Evaluation of common vaginal tunic ligation during field castration in draught colts

Evaluation of common vaginal tunic ligation during field castration in draught colts

A Mechanical Study of Ligature Security of Commercially Available Pre‐Tied Ligatures Versus Hand Tied Ligatures for Use in Equine Laparoscopy

Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

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