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An example of this might be if you tied your partner’s wrists to the bedposts, then grabbed their feet and pulled them sharply toward the foot of the bed.
![cinch knot cinch knot](https://www.securecableties.com/content/images/thumbs/0005184_18-x-2-inch-cinch-straps-with-eyelet-5-pack.jpeg)
Never tie someone in a position where rope is a applying heavy continual stress on the wrists. NEVER suspend someone by the wrists alone. If you pull on wrists too hard, you can damage that joint or even push some of those small wrist bones into the wrong position. The wrist joint itself is also fragile.Cuffs should never be too tight you should always be able to run two fingers under a cuff. Too much pressure there can impact blood flow or nerve conduction.
CINCH KNOT SKIN
![cinch knot cinch knot](https://www.securecableties.com/content/images/thumbs/0007222.jpeg)
Note: A double column is usually tied similarly to a single column, but then you add a cinch in the middle. This takes more time than forward-tension techniques, and the extra time will be proportional to the length of your rope – the longer your rope, the longer the tie will take. Reverse-tension techniques also have a disadvantage in that you have to do a number of “tail-pulls” to tie them. It cannot be untied until the tail is loosened or freed. If they want to play struggle games you can quickly cinch it tight for a moment to get them under control, and then loosen it to the appropriate level to continue the tie. Reverse-tension techniques like this have an advantage over with forward-tension techniques like the Wrap & Cinch in that you gain control of your partner early in the tie, so you don’t need to finish the tie to gain control. It is simple to apply and yet results in a snug and secure tie.
![cinch knot cinch knot](http://sportfishingpanama.com/wp-content/uploads/2016/02/cinch-knot-how-to-step-by-step-1000x500.jpg)
However, the sometimes necessary tying of a snug and reliable intracorporeal knot is unavoidable. Consequently, myriad technologies and techniques are used as work-arounds for this basic surgical task. Given the technical and mechanical challenges imposed by standard laparoscopic instrumentation, performance of such a basic task is sometimes difficult and elusive, even for accomplished surgeons. Traditionally, laparoscopic intracorporeal knot tying of a square knot or surgeon’s knot is a direct translation from an open instrument tying technique. Reliable knot tying is a cornerstone of surgical technique, and the square knot and surgeon’s knot constitute the greatest part of most surgeons’ knot-tying skills.
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