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Extracorporeal Suturing Indications

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Extracorporeal knot tying is indicated when the maneuvring space is insufficient for intracorporeal suturing. Another indication is if the tension on the defect exceeds what an intracorporeal surgeon's throw can withstand because a high‐strength jamming knot tied extracorporeally is stronger. In contrast to using a ligature loop, extracorporeal knot tying is also useful for placing ligatures without the need to divide the structure before ligation. The concept of extracorporeal knot tying is depicted in Figure 2.21.

Small Animal Laparoscopy and Thoracoscopy

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