Upload
gmina7771
View
185
Download
5
Embed Size (px)
Citation preview
Suturing Techniques
Arnaud WATTIEZ, MDJoseph NASSIF, MD
AAGL Orlando 2009
Disclosure
• We declare that we do not have any relevant financial relationships or off-label uses
Suturing
• Needle Holders• Threads• Needles• Needle insertion • Loading the needle• Rotation of wrist & hand• Suturing
Needle holders
Needle holders
Instruments
Instruments
Instruments
Instruments
Instruments
• 3 mm trocars & instruments
• Fine suturing
• Congruence
Threads
• Threads– Absorbable– Non absorbable– Size
Threads
• In general,
Needles
Needles
Needles
Needle insertion through trocar
• 5 mm trocar
Needle insertion through trocar
• 10 mm trocar
Loading the needle
• Manipulate the needle with the tread
• Orientate your angle
Loading the needle
• Lay on tissue– Right hand– Left hand
Needle Manipulation Technique
Needle Manipulation Technique
• Right hand video
• Left hand video
Thread Manipulation Technique
• Right hand video
• Left hand video
Beware of errors !!
• Errors video
Loading the needle (Twist Technique)
• Twist video
Rotation of wrist & fingers
Suturing
• Z line running suture
– Master rotation principle– Train one hand at a time
Z line suturing
• movie
Suturing
• Greek running suture
– Master using both hands– Ambidextirity
Greek line suturing
• movie
Thank you for your attention !