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Knots have long been used for various purposes, not only in maritime affairs, but also in medicine. They are still used by surgeons to tie threads of ligatures to stop bleeding and to stitch tissues and skin together. Nowadays, medicine has not yet abandoned the use of knots, and doctors skillfully use them.

During abdominal operations, surgeons have to suture catgut (a special material obtained from the mucous layer of the intestines of a ram or sheep), which resolves after 3-4 weeks. When tying, the catgut slides, and, making knots on it, surgeons use special clamps.

During microsurgical operations, doctors use extremely thin suture material - a synthetic thread 10-200 times thinner than a human hair. It is possible to tie such a thread only with the help of special clamps under an operating microscope. These threads are used in the suturing of the walls of blood vessels, for example, in the replantation of fingers, in the suturing of individual nerve fibers. Mainly used womanish, straight, bleached, surgical nodes and the so-called node "constrictor".

When tying surgical node first, two half-knots are made one after the other with two ends, which are then pulled in different directions. Then they tie from above, but in the other direction, another half-knot. The result is a knot very similar to a straight knot. The principle of the knot is that the first two half-knots do not allow the two ends to disperse in different directions while another half-knot is knitted on top.


Rice. 27. Surgical node

It is convenient to use this knot when there is a need to pull off and tie some elastic bale or load with a rope, and the tightened first half of the knot on the rope, without releasing its ends with your hands, you have to press it with your knee.

Author: Skryagin L.N.

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