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Video of Mishra's Knot for Laparoscopic Surgery: A Reliable Extracorporeal Suturing Technique for Safe Tissue Approximation
For Surgeon / Apr 24th, 2025 5:35 am     A+ | a-
In this educational video, we explore the application and technique of the Mishra's Knot, a widely recognized extracorporeal suturing method designed specifically for laparoscopic surgery. Developed by Prof. Dr. R.K. Mishra, this knot has gained international recognition for its simplicity, reliability, and high tensile strength, making it a preferred choice for minimal access surgeons worldwide.

What is Mishra's Knot?

The Mishra's Knot is a slip knot formed outside the abdominal cavity and then introduced into the operative field using a knot pusher. It is particularly useful in scenarios where intracorporeal suturing may be challenging, such as in confined spaces or for beginners who are refining their laparoscopic dexterity. The knot's design allows for controlled tightening and a low risk of slippage, making it effective in both high-tension and delicate tissue closures.

Key Advantages Demonstrated in the Video

Ease of Learning and Execution

The video breaks down the step-by-step formation of the knot, making it accessible even for novice surgeons. Its reproducibility makes it ideal for training and everyday clinical use.

Strong and Secure Closure

Mishra’s Knot provides high knot security and maintains excellent loop-holding capacity, ensuring effective approximation of tissues, ligation of pedicles, or closure of defects.

Versatility in Surgical Applications

It can be used across multiple laparoscopic procedures, including appendectomy, cholecystectomy, hernia repair, hysterectomy, and bowel anastomosis.

No Dependence on Intracorporeal Expertise

Since the knot is formed extracorporeally, it reduces operative time and minimizes technical challenges associated with intracorporeal suturing, especially in complex or emergency cases.

Educational Value

This video is an essential resource for surgeons, gynecologists, and surgical trainees seeking to improve their laparoscopic knotting skills. By mastering Mishra’s Knot, practitioners gain a dependable technique that enhances both surgical confidence and patient safety during minimal access procedures.

Conclusion

"Mishra's Knot for Laparoscopic Surgery" is more than just a suturing technique—it represents a practical innovation in the field of minimal access surgery that simplifies complex tasks without compromising safety. This video delivers clear instruction and real-case demonstrations that will benefit surgeons at every level of expertise.

Watch the full video to learn how to tie the Mishra’s Knot step by step and understand its clinical advantages in laparoscopic surgery.
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