title: New suture: tail clinch knot for transabdominal preperitoneal hernia repair.
abstract: BACKGROUND
  There is some controversy regarding the proper surgical method for inguinal hernia repair and whether transabdominal preperitoneal or totally extraperitoneal repair should be used. The greatest difference between these procedures is the need for absorbable sutures to close the peritoneal incision.
  
  
  METHODS
  The clinch knot is a kind of slip knot that is used for securing a fishing lure, hook, or swivel to a fishing line. This knot is used by fishermen and has historically proven to be secure.
  
  
  CONCLUSIONS
  When a clinch knot is placed at the tail end of a suture thread, a running suture can be started without knot tying.
authors.affiliation: Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Uchida
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Morimoto
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Tashiro
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohdan
authors.forename: Manabu
authors.initials: M
authors.lastname: Yamamoto
mesh_terms: D004867:Equipment Design; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008866:Microsurgery / Q000379:methods*; D010537:Peritoneum / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures
keywords: Hernia repair; suture; transabdominal preperitoneal (TAPP)