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Obstetrics & Gynecology 1997;90:1004-1006
© 1997 by The American College of Obstetricians and Gynecologists
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Articles

The 4-S modification of the Roeder knot: how to tie it

HT Sharp and JH Dorsey

BACKGROUND: The 4-S modification of the Roeder knot may be tied laparoscopically as a single-throw knot. TECHNIQUE: It is tied by adding a fourth wrap around the suture loop and securing the loop in place with a square knot rather than a single half-hitch. EXPERIENCE: We have used this knot in laparoscopic surgeries for more than 2 years and have not observed knot slippage. CONCLUSION: This modification results in a knot comparable in strength to the strongest laparoscopic multiple-throw square knots.





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Copyright © 1997 by the American College of Obstetricians and Gynecologists.