Aagl Suturing Lecture

Suturing Techniques Arnaud WATTIEZ, MD Joseph NASSIF, MD AAGL Orlando 2009

Disclosure • We declare that we do not have any relevant financial relationships or offlabel 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 !