Description

Total Laparoscopic Hysterectomy (TLH) is one of the most advanced gynecological procedures performed to remove the uterus using minimal access surgery. Among the various techniques developed to make this surgery safer, faster, and more efficient, Mishra’s Knot stands out as a significant innovation in laparoscopic suturing. Mishra’s Knot is a specially designed extracorporeal knotting technique that provides strong, reliable, and secure ligation during laparoscopic surgeries. Unlike conventional laparoscopic knots that require complex maneuvers and may take additional time, Mishra’s Knot simplifies the process with its reproducible steps and high holding strength. In Total Laparoscopic Hysterectomy, Mishra’s Knot plays a crucial role in securing the uterine pedicles, ovarian vessels, and vault closure. This technique not only reduces the dependence on expensive energy sources like harmonic scalpels or vessel sealing devices but also ensures minimal blood loss. Surgeons trained in this method report shorter operating times, lower complication rates, and better patient outcomes. Another remarkable advantage of Mishra’s Knot is its cost-effectiveness. In countries where affordability is a concern, this innovation allows hospitals to perform advanced laparoscopic procedures without the need for high-cost consumables. The simplicity of the knot also makes it an excellent teaching tool for training surgeons in laparoscopic suturing techniques. Patients undergoing TLH with Mishra’s Knot benefit from all the advantages of minimal access surgery—smaller incisions, less pain, faster recovery, and quicker return to daily life—while surgeons enjoy the added safety and efficiency of this knotting method. In conclusion, Total Laparoscopic Hysterectomy by Mishra’s Knot is not just a surgical procedure but a testimony to how innovation in technique can transform outcomes. By combining precision, safety, and affordability, this method has become a valuable contribution to the field of gynecological laparoscopic surgery.