Medical Surgical Needle Holders

There are many ways to tie the medical surgical needle holder.

Generally, we hold one end of the suture needle in our left hand and tie a knot with a needle holder or vascular forceps in our right hand, which is used for continuous suture.

First, place the needle holder (vascular clamp) between the upper line and the lower line, wrap the lower line up around the needle holder for one circle (two circles are surgical knots), clamp the upper thread head with the needle holder (vascular clamp), pull it down through the circle and tighten it. It is the first knot.

Place the needle holder (vascular forceps) between the two lines, wrap the upper line downward around the forceps, clamp the lower thread end with the needle holder (vascular forceps), pull it up through the circle, and tighten it, which is the square knot.

The above describes the method of tying with a needle holder,

1. Hold the suture in your left hand and hold the needle holder in your right hand.

2. Place the needle holder (vascular forceps) between the upper line and the lower line.

3. Wind the upper thread downward once, and clamp the lower thread end with the needle holder

The conventional way of holding the needle is to insert the thumb and ring finger into the ring of the needle holder respectively, and the index finger is held at the front end of the needle holder to increase stability. Select appropriate needle entry point and angle during suturing. Set an ideal needle entry point and needle exit point for yourself at the beginning of learning. Control the needle entry and exit during suturing, and strive to achieve the ideal point.

The key of suture is to rotate the wrist according to the radian of the needle, so that the needle passes through the tissue and the needle tip passes through the predetermined part. Note that the needle should be long enough to pull out the needle. Sometimes the needle tip is just exposed, that is, the thrust needle, which makes it difficult to pull out the needle. When pulling out the needle, it also needs to be pulled out according to the radian of the needle to avoid tearing the tissue.

During deep suture, you can pinch the back of the needle holder with your fingertips to complete the sewing and loosening without inserting your fingers into the ring. In this way, you can make full use of the length of the needle holder for deep suture. Another method is to hold the middle of the needle holder by hand for suture, which is convenient for suture at any angle within 360 °, especially at some unconventional angles. However, after the sewing operation is completed, it is required to retract the finger into the ring and loosen the needle holder to pull out the needle. This process requires that the hand should not tremble and the needle holder should not shift. It is really a challenge for novices.

When suturing, keep theMedical surgical Needle Holders parallel to the incision. Since the needle clamped on it is 90 ° to the needle holder, the suture and incision will naturally hang from itself. When suturing, the operator grasps the needle holder with the palm down to align the needle tip with the needle entry point at an appropriate angle, and the wrist rotates 180 ° along the arc of the needle, just with the palm up to complete the suturing. The whole action is completed in one breath.

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