Extracorporeal Mishra Knot for Vascular Structures | Advanced Laparoscopic Technique at WLH
4,291 views · Published 12 April 2014 · 1:59 · Indexed 20 September 2026
Channel: Dr. R. K. Mishra · 2014 · Science & Technology
http://www.laparoscopyhospital.com Laparoscopic Vascular Structure like Uterine Budle, Renal Artery, Cystic Duct, Spenic Artery need very secure knot. Laparoscopic Mishra's Knot is a very secure knot which is tested in 1200 patient's and they are very secure compare to Laparoscopic Roader's Knot, Tayside Knot or Meltzer's Knot. This video demonstrate how to tie laparoscopic extracorporeal knot. Title (90 characters): Extracorporeal Mishra Knot for Vascular Structures | Advanced Laparoscopic Technique at WLH Description: This educational surgical video demonstrates the Extracorporeal Mishra Knot for Vascular Structures, performed and taught at World Laparoscopy Hospital by Dr. R. K. Mishra. The Mishra Knot is a reliable extracorporeal knotting technique designed to provide secure vascular ligation during advanced laparoscopic procedures while maintaining excellent knot security, precision, and ease of application. In this step-by-step demonstration, viewers will learn the complete process of creating the Mishra Knot outside the body, advancing it safely using a knot pusher, and achieving effective hemostasis for vascular pedicles. The video highlights the principles of proper suture handling, optimal loop formation, knot advancement, tissue protection, and techniques to prevent slippage during vascular ligation. The Extracorporeal Mishra Knot is widely applicable in laparoscopic cholecystectomy, appendectomy, colorectal surgery, gynecologic laparoscopy, urologic procedures, splenectomy, adrenalectomy, bariatric surgery, and other advanced minimally invasive operations where dependable vascular control is essential. This technique is particularly valuable in settings where endoscopic clips or energy devices may not be ideal or when surgeons prefer a cost-effective, reproducible ligation method. Throughout the demonstration, Dr. R. K. Mishra explains important technical pearls, common mistakes to avoid, and practical tips that help surgeons achieve consistent knot security while minimizing operative complications. The video is ideal for surgical residents, fellows, practicing laparoscopic surgeons, gynecologists, urologists, and educators seeking to master advanced laparoscopic suturing and knot-tying techniques. World Laparoscopy Hospital continues to be a global center of excellence in minimal access surgery, providing structured hands-on training in laparoscopic, robotic, and endoscopic surgery for surgeons and gynecologists from around the world. This video serves as an important educational resource for improving intracorporeal and extracorporeal suturing skills and enhancing patient safety during minimally invasive surgery. For more information please contact: World Laparoscopy Hospital Cyber City, DLF Phase II, Gurgaon NCR Delhi, 122002, India Phone & WhatsApp: +919811416838, + 91 9999677788 [email protected]
