Video of Laparoscopic Roeder's Knot: A Time-Tested Extracorporeal Knotting Technique in Minimal Access Surgery
In this instructional video titled "Laparoscopic Roeder's Knot: A Time-Tested Extracorporeal Knotting Technique in Minimal Access Surgery," viewers are guided through the precise steps and practical applications of the Roeder’s Knot, a trusted and widely used technique in laparoscopic suturing. Filmed at World Laparoscopy Hospital and presented by experts in the field, the video offers a detailed look at how this knot plays a pivotal role in securing ligations during laparoscopic procedures.
What is the Roeder’s Knot?
The Roeder's Knot is a sliding extracorporeal knot designed for secure ligation of tubular and vascular structures in laparoscopic surgery. Developed originally for open surgery, it has been adapted for minimal access procedures due to its reliability, strength, and simplicity. This knot is tied outside the body and pushed into place using a knot pusher, making it especially useful in cases where intracorporeal knot tying is challenging due to limited space or visibility.
Step-by-Step Technique as Demonstrated in the Video
Preparation of a suitable suture, typically 2-0 or 1-0 absorbable material
Construction of the Roeder's Knot extracorporeally, comprising a base knot, three wraps, and two locking half-hitches
Introduction of the knot through a laparoscopic port
Advancement and tightening over the targeted structure using a knot pusher under laparoscopic vision
Confirmation of secure ligation and proper hemostasis
This video illustrates not only the formation of the knot but also key tips for avoiding slippage, ensuring symmetry, and adapting the technique for various surgical scenarios.
Applications in Laparoscopic Surgery
Laparoscopic appendectomy – ligation of the base of the appendix
Cholecystectomy – securing the cystic duct or artery when clips are not preferred
Gynecological procedures – tubal ligation and control of ovarian pedicles
Bowel surgery – vascular ligation in mesenteric windows
Emergency laparoscopic procedures – where speed and security are essential
Why the Roeder’s Knot Remains Relevant
Highly secure with minimal risk of loosening under tension
Simple to teach and reproduce, making it ideal for surgical training
Time-efficient, reducing operative duration in high-volume settings
Versatile across specialties, from general surgery to urology and gynecology
Requires only standard laparoscopic instruments, no specialized devices
Conclusion
The Laparoscopic Roeder’s Knot continues to stand the test of time as an essential technique in the armamentarium of minimal access surgeons. This video from World Laparoscopy Hospital offers valuable insights into its construction, deployment, and clinical utility. Whether you're a surgical trainee or an experienced laparoscopist, mastering the Roeder’s Knot enhances your ability to perform safe, efficient, and secure extracorporeal ligations.
Watch the full video to understand how this time-tested knot can improve your operative outcomes.
Like, comment, and subscribe for more evidence-based surgical education and practical demonstrations from the globa
What is the Roeder’s Knot?
The Roeder's Knot is a sliding extracorporeal knot designed for secure ligation of tubular and vascular structures in laparoscopic surgery. Developed originally for open surgery, it has been adapted for minimal access procedures due to its reliability, strength, and simplicity. This knot is tied outside the body and pushed into place using a knot pusher, making it especially useful in cases where intracorporeal knot tying is challenging due to limited space or visibility.
Step-by-Step Technique as Demonstrated in the Video
Preparation of a suitable suture, typically 2-0 or 1-0 absorbable material
Construction of the Roeder's Knot extracorporeally, comprising a base knot, three wraps, and two locking half-hitches
Introduction of the knot through a laparoscopic port
Advancement and tightening over the targeted structure using a knot pusher under laparoscopic vision
Confirmation of secure ligation and proper hemostasis
This video illustrates not only the formation of the knot but also key tips for avoiding slippage, ensuring symmetry, and adapting the technique for various surgical scenarios.
Applications in Laparoscopic Surgery
Laparoscopic appendectomy – ligation of the base of the appendix
Cholecystectomy – securing the cystic duct or artery when clips are not preferred
Gynecological procedures – tubal ligation and control of ovarian pedicles
Bowel surgery – vascular ligation in mesenteric windows
Emergency laparoscopic procedures – where speed and security are essential
Why the Roeder’s Knot Remains Relevant
Highly secure with minimal risk of loosening under tension
Simple to teach and reproduce, making it ideal for surgical training
Time-efficient, reducing operative duration in high-volume settings
Versatile across specialties, from general surgery to urology and gynecology
Requires only standard laparoscopic instruments, no specialized devices
Conclusion
The Laparoscopic Roeder’s Knot continues to stand the test of time as an essential technique in the armamentarium of minimal access surgeons. This video from World Laparoscopy Hospital offers valuable insights into its construction, deployment, and clinical utility. Whether you're a surgical trainee or an experienced laparoscopist, mastering the Roeder’s Knot enhances your ability to perform safe, efficient, and secure extracorporeal ligations.
Watch the full video to understand how this time-tested knot can improve your operative outcomes.
Like, comment, and subscribe for more evidence-based surgical education and practical demonstrations from the globa
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