Walid Barto1, Stanley Chen. 1. Upper Gastrointestinal Surgical Unit, Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia. wbarto@hotmail.com
Abstract
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.
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.