Wound closure with sutures has been routinely used as a result of the technical and surgical development. With increasing interest in expanding applications of single-incision laparoscopic surgery (SILS), surgeons are faced with new challenges. In SILS it is not usually possible to utilize two instruments for knot tying as they lie almost parallel. This article describes a unique one-handed knot tying technique devised specifically for use in SILS.
Today, all abdominal and thoracic surgeries can be performed with laparoscopy. Intracorporeal knot tying is an advanced skill that involves a difficult process with a long learning curve. In particular, when the angle between the working instruments is narrow and the working area is limited, ligation and suturing are substantially difficult to perform. Knot tying in open surgery can be easily learned and performed, but however, knot tying…
