RT Journal Article
SR Electronic
T1 Getting by with less — the “frugal tie”
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 412
OP 416
DO 10.1503/cjs.003814
VO 57
IS 6
A1 Jacques Rizkallah
A1 John M. Rothschild
A1 Derek V. Exner
YR 2014
UL http://canjsurg.ca/content/57/6/412.abstract
AB The ability to tie surgical knots efficiently and effectively is an essential surgical skill for medical procedures, especially pacemaker implantation. Device generators and their leads need to be safely anchored with sutures during implantation to prevent dislodgement and inadequate packaging in the pacemaker pocket. With most knot tying techniques, a generous amount of suture slack is required. We introduce a new technique that is a variation of the 2-handed surgical square knot and the 1-handed surgeon’s knot that allows one to finish or tie a knot when left with little slack.