Extracorporeal “Giant” Locking Sliding Knot in Pediatric and Neonatal Minimally Invasive Surgery: Indications,Techniques,and Outcomes

Abstract

Abstract

Aim:

A prospective study to assess the clinical application of extracorporeal “Giant” locking sliding knot (GLSK) in pediatric and neonatal minimally invasive surgery (MIS).

Materials and Methods:

A total of 152 MIS, of various complexities were performed over a 14-month period with more than 1100 GLSKs used in 126 procedures.

Results:

There were no major complications or deaths in this cohort. Unraveling of the GLSK was observed in three instances (0.3%) secondary to excessive manipulation. Only a copolymer of glycolic acid/trimethylene carbonate material (Maxon™ suture; Covidien, Norwalk, CT) and polyproplene (Prolene™ suture; Ethicon, Sommerville, NJ) can be used for the GLSK technique due to their very smooth surface.

Conclusion:

Extracorporeal GLSKs can replace intracorporeal knots because they are safe, faster to tie, and reduce the surgeon's fatigue during complex MIS.