Comparing Extracorporeal Knots in Laparoscopy using Knot and Loop Securities

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 main-taining 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