Improved design knot pusher for laparoscopic extracorporeal suturing
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Updated: Sep 27, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
1Upper Gastrointestinal Surgical Unit, Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia. wbarto@hotmail.com
Background:
Reliable instruments are essential for a hassle free laparoscopic operation. We describe a new knot pusher for improved extracorporeal suturing.
Methods:
A new knot pusher was designed and tested in laparoscopic Nissen fundoplication.
Results:
The instrument was used satisfactorily in 13 laparoscopic Nissen fundoplications. There were no complications and the instrument was found, overall, to be superior to the commercially available knot pushers.
Conclusion:
The new knot pusher offers a tailored instrument for extracorporeal knot tying.