The "Easy Load" Universal Knot Pusher: One Knot Pusher, Any Knot

We describe a novel laparoscopic knot pusher which has the advantage over existing instruments of being suitable for applying both sliding and non-sliding extra-corporeal knots. Loading the suture into the knot pusher is done by touch rather than vision which is an advantage in a darkened endoscopy theatre, and once loaded, the suture is held securely despite not having had to thread the suture through a small eye. The knot pusher can also be used as an alternative to pre-tied Endoloops using a long tie.