A New Simple Intracorporeal Knot-Tying Technique in Operative Laparoscopy: A Loop-Forming and Alternate-Handed Method

ABSTRACT

This article is a concise description of a new approach to intracorporeal knot-tying in operative laparoscopy. The new technique provides another choice for surgeons and surgical students when a classic intracorporeal knot is not easy to perform. There are four key points in the practice of this new method: (1) always start on the long end, (2) form the loop by spinning the grasping forceps, (3) at the cross of the loop, the distal part must be medial to the proximal part, and (4) the method is alternate handed. The details and advantages are presented. (J GYNECOL SURG 13;93, 1997)