A new technique for tying the Gea extracorporeal knot for endoscopic surgery

The development of minimally invasive surgery has promoted new knot elaboration techniques. The Gea extracorporeal knot was described in our institution for use in laparoscopic surgery and has demonstrated to be excellent for endoscopic surgical procedures. Our experience has provided some changes in the technique to facilitate the elaboration of the Gea knot. Here we present an alternative tying technique for the Gea knot and slip loop.