Hands on practice of Laparoscopic Tumble Square Knot Demonstration By Prof.Dr.R. K. Mishra
Hands on Training in Minimal Access surgery.
May 17, 2017
Event Time: 9:45 am
Location: World Laparoscopy Hospital
Today the doctors learnt the Tumble Square knot for tissue approximation technique. The tail should measure 2 cms longer than the gap between the edges of the tissue to be approximated. One half knot is taken and the knot is placed towards the needle side of the suture. The suture is placed in reverse C and another half knot is tied. Caution should be taken that is taken not to pull the tail. The needle suture is pulled at 5 O clock position. The two half knots are tumbled and made to lie straight. The needle end is pulled and the knots are pushed by the Maryland. When the knot is tightened a buttock sign will appeared is demonstrated where the two edges appear like two buttocks of an infant after that the knot is untumbled by pulling the tail and finally a securing half knot is tied. Dr Murthy performed the knot perfectly and was satisfied by the technique.