Author/Authors :
BÖREKCİ, Hasan Bozok University - Faculty of Medicine - Department of General Surgery, Turkey , BÖREKCİ, Elif Bozok University - Faculty of Medicine - Department of Internal Medicine, Turkey , AK, Hakan Bozok University - Faculty of Medicine - Department of Neurosurgery, Turkey , ZENGİN, Kürşad Bozok University - Faculty of Medicine - Department of Urology, Turkey , ATALAY, Tugay Bozok University - Faculty of Medicine - Department of Neurosurgery, Turkey , TANIK, Serhat Bozok University - Faculty of Medicine - Department of Urology, Turkey
Abstract :
Background/aim: We report here an instrument designed by Dr Hasan Börekci that provides support to the knot to facilitate knot tying in laparoscopic procedures. We call the device the ‘Börekci knot-supporting instrument’ and the technique ‘Börekci’s knot technique’. Materials and methods: To evaluate the efficacy of this instrument, 17 surgeons performing laparoscopic surgery tied 3 knots using the classical intracorporeal method and then using the intracorporeal knot-supporting instrument. The times required to tie each knot were recorded and compared statistically. Results: Comparing the 2 knotting methods, the time spent tying the knots was shorter with the knot-supporting instrument in all 3 trials and the difference was significant (P = 0.026) in the third trial. Conclusion: This alternative technique can be used for all knots in laparoscopic surgery when classical intracorporeal knotting is difficult.
Keywords :
Knot , supporting instrument , intracorporeal knot , laparoscopic surgery
