Description

This video demonstrate how to tie extracorporeal Mishra's knot. Nowadays, laparoscopy has become an indispensable component of surgical training across the globe. Many complicated procedures are quite regularly performed by minimally invasive approaches. As such, acquiring proficiency in endoscopic suturing has virtually turned an obligatory prerequisite into safe execution of not only advanced but also basic laparoscopic. However, intracorporeal suturing is remarkably difficult to learn and at times quite frustrating and time-consuming. To attain that required dexterity, a needle-to driver shaft angle is generally recommended].However, as per the persistent observations made and experience gained by us over the last two decades, such a right angled grip is arguably supportive only in the most favorable circumstances wherein the tissue to be sutured lies on the “floor” of the monitor, is co-axially aligned with the needle holder, and is easily accessible; thus can it finally tied the knot. Etracorporeal knot does not has these problems. Extracorporeal surgeons knot is used widely to ligated big vessels like splenic artery, renal artery and vein. Uterine artery and partial cholecystectomy. Configuration of this knot is 1:1:1:1:1:1:1.