Video of Extra Corporeal Tayside Knot: A Secure and Efficient Technique for Laparoscopic Ligature
In this video, we will discuss that In laparoscopic surgery, where precision and control are paramount, the ability to secure tissue with dependable knots is vital. The Extra Corporeal Tayside Knot is a practical and highly effective knotting technique designed for extracorporeal ligation in minimal access procedures. This video, titled "Extra Corporeal Tayside Knot: A Secure and Efficient Technique for Laparoscopic Ligature," offers a step-by-step demonstration of this reliable knot, showcasing its construction, deployment, and surgical application.
What is the Tayside Knot?
The Tayside Knot is a slip knot with a built-in locking mechanism, specifically designed for laparoscopic use. It is formed outside the abdominal cavity and then advanced through a trocar using a knot pusher, allowing precise and secure placement around anatomical structures such as the base of the appendix, fallopian tubes, mesenteric vessels, or small ducts. Its configuration includes an adjustable loop with multiple locking throws, making it a preferred knot for tension-free and secure closure in confined spaces.
Key Demonstrations in the Video
Step-by-Step Knot Formation
The video shows how to construct the Tayside Knot using a long suture, incorporating a loop with alternating half hitches that slide smoothly during deployment and lock firmly upon tightening.
Controlled Knot Deployment
With the help of a laparoscopic knot pusher, the surgeon pushes the knot into the abdominal cavity and cinches it over the desired structure. The video emphasizes maintaining steady tension to ensure accurate placement and firm closure.
Live Applications and Use Cases
Practical examples include appendiceal stump ligation, tubal sterilization, and pedicle control in bowel resections—demonstrating the versatility and adaptability of the Tayside Knot in real surgical scenarios.
Clinical Applications of the Tayside Knot
Laparoscopic appendectomy – securing the base of the appendix
Tubal ligation or sterilization – occluding the fallopian tubes
Small bowel resection – ligating mesenteric vessels
Cholecystectomy – controlling the cystic duct when clips are not used
Pediatric laparoscopic procedures requiring narrow working spaces
Advantages of the Tayside Knot
Quick and easy to learn, ideal for surgical training
High knot security, especially under tension
Minimal cost, avoiding the need for staplers or energy devices
Applicable through 5mm and 10mm ports
Excellent for resource-limited environments or cost-conscious surgical practices
Conclusion
The Extra Corporeal Tayside Knot is an invaluable technique in the laparoscopic surgeon’s repertoire. Its simplicity, versatility, and security make it a go-to choice for extracorporeal ligation in a wide range of procedures. Whether you are a trainee mastering the basics or an experienced surgeon seeking efficient and economical alternatives, this knot delivers on all fronts.
Watch the full video to learn how to create and apply the Tayside Knot with confidence and precision. Don’t forget to like, comment, and subscribe for more high-quality surgical training content from World Laparoscopy Hospital.
What is the Tayside Knot?
The Tayside Knot is a slip knot with a built-in locking mechanism, specifically designed for laparoscopic use. It is formed outside the abdominal cavity and then advanced through a trocar using a knot pusher, allowing precise and secure placement around anatomical structures such as the base of the appendix, fallopian tubes, mesenteric vessels, or small ducts. Its configuration includes an adjustable loop with multiple locking throws, making it a preferred knot for tension-free and secure closure in confined spaces.
Key Demonstrations in the Video
Step-by-Step Knot Formation
The video shows how to construct the Tayside Knot using a long suture, incorporating a loop with alternating half hitches that slide smoothly during deployment and lock firmly upon tightening.
Controlled Knot Deployment
With the help of a laparoscopic knot pusher, the surgeon pushes the knot into the abdominal cavity and cinches it over the desired structure. The video emphasizes maintaining steady tension to ensure accurate placement and firm closure.
Live Applications and Use Cases
Practical examples include appendiceal stump ligation, tubal sterilization, and pedicle control in bowel resections—demonstrating the versatility and adaptability of the Tayside Knot in real surgical scenarios.
Clinical Applications of the Tayside Knot
Laparoscopic appendectomy – securing the base of the appendix
Tubal ligation or sterilization – occluding the fallopian tubes
Small bowel resection – ligating mesenteric vessels
Cholecystectomy – controlling the cystic duct when clips are not used
Pediatric laparoscopic procedures requiring narrow working spaces
Advantages of the Tayside Knot
Quick and easy to learn, ideal for surgical training
High knot security, especially under tension
Minimal cost, avoiding the need for staplers or energy devices
Applicable through 5mm and 10mm ports
Excellent for resource-limited environments or cost-conscious surgical practices
Conclusion
The Extra Corporeal Tayside Knot is an invaluable technique in the laparoscopic surgeon’s repertoire. Its simplicity, versatility, and security make it a go-to choice for extracorporeal ligation in a wide range of procedures. Whether you are a trainee mastering the basics or an experienced surgeon seeking efficient and economical alternatives, this knot delivers on all fronts.
Watch the full video to learn how to create and apply the Tayside Knot with confidence and precision. Don’t forget to like, comment, and subscribe for more high-quality surgical training content from World Laparoscopy Hospital.
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