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.
BÖREKCİ, HASAN; BÖREKCİ, ELİF; AK, HAKAN; ZENGİN, KÜRŞAD; ATALAY, TUGAY; and TANIK, SERHAT
"A new knot-supporting instrument and knot technique for laparoscopic surgery,"
Turkish Journal of Medical Sciences: Vol. 44:
6, Article 34.
Available at: https://journals.tubitak.gov.tr/medical/vol44/iss6/34