Department of Neurosurgery, Nippon Medical School, 1-1-5, Sendagi, Bunkyo, Tokyo, Japan.
Acta Neurochir (Wien). 2011 Jul;153(7):1543-5; discussion 1545. doi: 10.1007/s00701-011-0988-3. Epub 2011 Mar 26.
Knot-tying in the deep operative field is very complicated because of the narrow working space during endoscopic transsphenoidal surgery. We present a novel technique for tying deep knots called the "easy slip-knot," which was developed from a knot used to tie fishing lines.
After threading the dura, an easy slip-knot is made outside the nostril. One end of the string is pulled, the knot then naturally slips, and should reach the operative field without needing a knot-pusher.
This method is not complicated, is easily applied to the operative field by slipping the knot into position, and is able to tie sutures securely.
The easy slip-knot should be useful for endoscopic surgery.
由于经鼻内镜蝶窦手术的工作空间狭窄，深部打结操作非常复杂。我们介绍一种新的深部打结技术，称为“易滑结”，它是从一种用于系钓鱼线的结发展而来的。
在穿过硬脑膜后，在鼻孔外打一个易滑结。拉动线的一端，结自然滑动，应该可以无需使用结推器就能到达手术区域。
该方法并不复杂，通过将结滑入适当位置，很容易应用于手术区域，并能够牢固地系紧缝线。
易滑结对于内镜手术应该是有用的。
