-
Clasp needle on 1/2 to 2/3 back from tip -
-
Held on edge of needle drive - Lateral from hand
-
suture in 90 degree
-
when suturing - hold the edge evert it - suture
-
pull thread till theres few cm in back - hold the middle, then handle suture and twirl it twice on the clamp - then hold tip of suture end then pull to the opposite side - the other side is done only with one round of suture around clamp then pull on the same side
first suture knotting should be twice, then once afterwards elbow arm is fixed, only movement of hand is use
procedure ppt..
-
Apply the needle to the needle driver Clasp needle 1/2 to 2/3 back from tip
-
Rule of halves: Matches wound edges better; avoids dog ears Vary from rule when too much tension across wound
-
The needle enters the skin with a 0.5-1 cm bite from the wound edge at 90 degrees –Visualize Erlenmeyer flask –Evert wound edges (Because scars contract over time)
-
Release the needle from the needle driver, reach into the wound and grasp the needle with the needle driver. Pull it free to give enough suture material to enter the opposite side of the wound.
-
Use the forceps and lightly grasp the skin edge and arc the needle through the opposite edge inside the wound edge taking equal bites.
-
Rotate your wrist to follow the arc of the needle.
-
Principle: minimize trauma to the skin, and don’t bend the needle. Follow the path of least resistance.
-
Release the needle and grasp the portion of the needle protruding from the skin with the needle driver. Pull the needle through the skin until you have approximately 1 to 1/2-inch suture strand protruding form the bites site.
-
Release the needle from the needle driver and wrap the suture around the needle driver two times.
-
Grasp the end of the suture material with the needle driver and pull the two lines across the wound site in opposite direction (this is one throw).
-
Do not position the knot directly over the wound edge.
-
Repeat 3-4 throws to ensuring knot security. On each throw reverse the order of wrap.
-
Cut the ends of the suture 1/4-inch from the knot.
-
The remaining sutures are inserted in the same manner