c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Principles of Microsurgery: 31

A D V E R T I S E M E N T

   
 

The long end is picked up flat in the jaws of an instrument.       

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Principles of Microsurgery: 32

A D V E R T I S E M E N T

   
 

Even under low power, the full length of the short end may not be visible initially. The trick to knowing when the end is getting near, and to slow down before pulling the suture through, is to watch the movement of the short end. Surface tension between the wet field and the suture stabilizes the strand when it is long and side to side movement is minimal. As the end shortens and surface tension diminishes, the end waggles more noticeably.      

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Principles of Microsurgery: 33

A D V E R T I S E M E N T

   
 

Knot tying
At low power, the needle end of the suture is placed in a position in the field where it can be easily located again. The 6:00 position is usually optimal to keep it handy and out of the way of tying.       

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This page was last modified on 4/15/2000.