Video of Laparoscopic Roeder's Knot: A Trusted Extracorporeal Technique for Secure Ligation in Minimal Access Surgery
This video titled "Laparoscopic Roeder's Knot" offers a step-by-step surgical demonstration of one of the most widely practiced extracorporeal knotting techniques in laparoscopic surgery. The Roeder’s Knot, known for its sliding and self-locking mechanism, has been a cornerstone in laparoscopic suturing, especially when secure ligation of tubular structures such as the appendix, fallopian tubes, cystic duct, or mesenteric vessels is required.
What is the Roeder's Knot?
The Roeder’s Knot is an extracorporeal knot, meaning it is tied outside the body and then advanced into the abdominal cavity using a knot pusher. It consists of a base knot and multiple locking loops, which allow it to slide down the suture and lock firmly in place upon tightening. Its design provides excellent tensile strength and minimizes the risk of slippage, making it a safe and efficient alternative to intracorporeal knot tying, particularly in narrow or difficult-to-access areas.
Key Surgical Steps Demonstrated in the Video
Preparation of suture material (usually absorbable or delayed absorbable)
Extracorporeal construction of the Roeder’s Knot with defined throws and locking configuration
Insertion of the knot into the abdomen through a 5mm or 10mm port
Advancement to the ligation site using a knot pusher under laparoscopic guidance
Gentle tightening to ensure secure approximation or ligation of the targeted structure
Final verification of hemostasis and suture security
The video illustrates not only the construction and application of the knot but also key handling tips to avoid common errors and ensure consistent results.
Advantages of the Roeder's Knot in Laparoscopic Surgery
Strong and secure with minimal risk of untying or slippage
Easy to learn and apply, even for beginners in laparoscopic surgery
Allows quick ligation without the need for complex intracorporeal knotting skills
Versatile use in general surgery, gynecology, urology, and pediatric laparoscopy
Reduces operative time and offers excellent reproducibility in training and clinical environments
Clinical Applications
Ligation of the appendix base in laparoscopic appendectomy
Securing the cystic duct or artery during laparoscopic cholecystectomy
Tubal sterilization or adnexal surgeries in gynecology
Control of mesenteric vessels in bowel resections
Emergency bleeding control during trauma laparoscopic procedures
Conclusion
The Laparoscopic Roeder's Knot remains a trusted and reliable extracorporeal knotting method, especially for securing tubular structures during minimal access surgery. As demonstrated in this video from World Laparoscopy Hospital, its ease of application, safety profile, and strength make it an essential technique in every laparoscopic surgeon’s repertoire. Whether you are a trainee or an experienced MIS specialist, mastering the Roeder’s Knot adds precision and versatility to your surgical skill set.
Watch the full video to learn the exact technique, indications, and practical tips for incorporating the Roeder’s Knot into your laparoscopic practice.
Don’t forget to like, comment, and subscribe for more high-quality surgical tutorials from World Laparoscopy Hospital, the global leader in laparoscopic and robotic surgery education.
What is the Roeder's Knot?
The Roeder’s Knot is an extracorporeal knot, meaning it is tied outside the body and then advanced into the abdominal cavity using a knot pusher. It consists of a base knot and multiple locking loops, which allow it to slide down the suture and lock firmly in place upon tightening. Its design provides excellent tensile strength and minimizes the risk of slippage, making it a safe and efficient alternative to intracorporeal knot tying, particularly in narrow or difficult-to-access areas.
Key Surgical Steps Demonstrated in the Video
Preparation of suture material (usually absorbable or delayed absorbable)
Extracorporeal construction of the Roeder’s Knot with defined throws and locking configuration
Insertion of the knot into the abdomen through a 5mm or 10mm port
Advancement to the ligation site using a knot pusher under laparoscopic guidance
Gentle tightening to ensure secure approximation or ligation of the targeted structure
Final verification of hemostasis and suture security
The video illustrates not only the construction and application of the knot but also key handling tips to avoid common errors and ensure consistent results.
Advantages of the Roeder's Knot in Laparoscopic Surgery
Strong and secure with minimal risk of untying or slippage
Easy to learn and apply, even for beginners in laparoscopic surgery
Allows quick ligation without the need for complex intracorporeal knotting skills
Versatile use in general surgery, gynecology, urology, and pediatric laparoscopy
Reduces operative time and offers excellent reproducibility in training and clinical environments
Clinical Applications
Ligation of the appendix base in laparoscopic appendectomy
Securing the cystic duct or artery during laparoscopic cholecystectomy
Tubal sterilization or adnexal surgeries in gynecology
Control of mesenteric vessels in bowel resections
Emergency bleeding control during trauma laparoscopic procedures
Conclusion
The Laparoscopic Roeder's Knot remains a trusted and reliable extracorporeal knotting method, especially for securing tubular structures during minimal access surgery. As demonstrated in this video from World Laparoscopy Hospital, its ease of application, safety profile, and strength make it an essential technique in every laparoscopic surgeon’s repertoire. Whether you are a trainee or an experienced MIS specialist, mastering the Roeder’s Knot adds precision and versatility to your surgical skill set.
Watch the full video to learn the exact technique, indications, and practical tips for incorporating the Roeder’s Knot into your laparoscopic practice.
Don’t forget to like, comment, and subscribe for more high-quality surgical tutorials from World Laparoscopy Hospital, the global leader in laparoscopic and robotic surgery education.
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