Department of General Surgery, Bozok University, Yozgat, Turkey.
Turk J Med Sci. 2014;44(6):1130-3.
BACKGROUND/AIM: We report here an instrument designed by Dr Hasan Bdrekci that provides support to the knot to facilitate knot tying in laparoscopic procedures. We call the device the 'B6rekci knot-supporting instrument' and the technique 'B6rekci's knot technique'
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.
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.
This alternative technique can be used for all knots in laparoscopic surgery when classical intracorporeal knotting is difficult.
背景/目的：我们在此报告一种由 Hasan Bdrekci 博士设计的器械，该器械为打结提供支持，以方便腹腔镜手术中的打结。我们将该设备称为“B6rekci 打结支持器械”，将该技术称为“B6rekci 的打结技术”。
为了评估该器械的功效，17 名进行腹腔镜手术的外科医生使用经典的腔内打结方法和腔内打结支持器械分别完成 3 个结的打结。记录每个结的打结时间并进行统计学比较。
在所有 3 次试验中，使用打结支持器械打结的时间均短于经典腔内打结方法，并且在第 3 次试验中差异具有统计学意义（P = 0.026）。
当经典的腔内打结困难时，这种替代技术可用于腹腔镜手术中的所有结。
