Dilip-Sarbani Knot (New Extracorporeal Knot)

Abstract

Knots are very important in the general and laparoscopic surgery. Knots are of two types, extracorporeal and intracorporeal. Intracorporeal knots are difficult while extracorporeal knots are comparatively easy to make, as we make it outside. This new knot (Dilip-Sarbani knot) is an extracorporeal knot. We shall take 20 cm length suture material of prolene, vicryl or catgut. Then we shall take three simple rounds in left index finger. Then we shall mark it as no 1, 2 and 3. Then we shall take no 1 over no 2 and again no 2 over no 3 and lastly no 3 over no 1. Then we shall pull it tightly. The knot is prepared. Finally push the above portion of knot to the target organ for making it tight. If we want to be more secure then we can give one more simple knot. This knot can be used in tubal ligation, in appendectomy or where tubular structure and stump ligation.