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