A simple and safe extracorporeal knotting technique.

INTRODUCTION: Extracorporeal knotting in laparoscopic surgery can be used in certain situations or as a bridge to mastering more technically demanding intracorporeal suturing. We describe a simple, easy, and safe extracorporeal knotting technique. TECHNIQUE DESCRIPTION: A simple knotting technique, borrowed from the art of tatting, is used. DISCUSSION: This very simple and safe technique has been successfully followed in more than 50 cases for tying an extracorporeal knot. Its advantage is that any number of additional knots can be tied and easily slid down in a single maneuver.