Center of the strand placed in front of the tip of hemostatic clamp with purple strand held in right hand and white strand in left hand. Purple strand swung behind clamp and grasped with index finger of left hand. Purple strand will be transferred to left hand and released by right. Purple strand crossed under white strand with left index finger and regrasped with right hand. First throw is completed in usual manner.
Tension is placed on both strands below the tip of the clamp as the first throw of the knot is tied.
The assistant then removes the clamp. All rights reserved.