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Video of Laparoscopic Weston Knot: A Secure and Efficient Extracorporeal Knotting Technique in Minimal Access Surgery
General / Apr 22nd, 2025 8:17 am     A+ | a-
This video titled "Laparoscopic Weston Knot" provides a step-by-step demonstration of one of the most effective extracorporeal knotting techniques used in laparoscopic surgery. The Weston Knot is valued for its sliding-loop design that combines the ease of application with a high degree of security, making it an excellent option for ligating structures like the appendix base, cystic duct, and vascular pedicles.

What is the Weston Knot?

The Weston Knot is an extracorporeal slip knot that is tied outside the abdominal cavity and introduced via a trocar using a knot pusher. Once in place, the loop is tightened around the targeted structure, and the knot securely locks, minimizing the risk of loosening or slippage. Its construction involves a loop followed by alternating locking hitches, offering strength comparable to intracorporeal knots but with greater speed and simplicity.

Advantages Highlighted in the Video

Strong and Secure – Ensures reliable ligation with minimal risk of slippage
Easy to Learn and Apply – Suitable for both beginners and experienced surgeons
Ideal for Narrow Anatomical Spaces – Useful in appendectomy, cholecystectomy, and tubal ligation
Cost-Effective – Eliminates the need for expensive staplers or clip applicators
Time-Saving – Reduces operating time, especially in emergency laparoscopic procedures

Clinical Applications

Laparoscopic Appendectomy – Ligation of the appendix base
Laparoscopic Cholecystectomy – Secure closure of the cystic duct
Gynecologic Surgery – Tubal ligation or salpingectomy
Bowel Resection – Mesenteric vessel ligation
Pediatric Surgery – Minimally invasive procedures with limited space

Conclusion

The Laparoscopic Weston Knot is a powerful tool in the hands of a laparoscopic surgeon, offering speed, efficiency, and safety in extracorporeal ligation. As demonstrated in this video from World Laparoscopy Hospital, mastering this knot can significantly improve surgical outcomes, especially in resource-limited settings or where quick, reliable knotting is essential.

Watch the full video to learn the precise steps of constructing and applying the Weston Knot, along with tips for avoiding common errors.
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World Laparoscopy Hospital
Cyber City
Gurugram, NCR Delhi, 122002
India

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World Journal of Laparoscopic Surgery



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