Tying laparoscopic intracorporeal knots with one instrument: 'Dowais tie'

In laparoscopic surgery, intracorporeal suturing is one of the most important and difficult techniques.Laparoscopic intracorporeal knot tying in minimally invasive surgery is an advanced skill. Mastering this skill is a difficult process with a long learning curve. Intracorporeal suturing is essential in advanced laparoscopy and is a rate-limiting step in many procedures. The technique we wish to describe makes the art of knot-tying simple and straightforward by the use of a single laparoscopic needle holder. This technique, which we called 'Dowais tie', is useful for totally trans-umbilical laparoscopic surgery. This simple and useful technique of intracorporeal knot tying is demonstrated in this report Keywords: Intracorporeal suturing | laparoscopic surgery intracorporeal knot | Dowais tie
Technique Pass the suitable suture with a straight needle through the abdominal wall, then cut the end of the suture, remove the needle and pass the suture around the target [...]