https://www.laparoscopyhospital.com/m... Knotting and suturing is a must-learn skill for any laparoscopic surgeon, gynecologist, or urologist. Without knotting skills, one can not expect to perform advanced surgery. Prof. Mishra's Mishra Knot was published in the World Journal of Laparoscopic Surgery in 2007 and since then hundreds of surgeons all over the world is using this knot. CONCLUSION: Extracorporeal Mishra's Knot and Tayside Knot can tolerate better distraction forces and thus have higher median Knot Quality Score scores compared with Roeder's knots.