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Swaged (or "atraumatic") needles with sutures consist of a pre-packed eyeless needle already attached (by swaging) to a specific length of suture thread. This saves time, and eliminates the most difficult threading of very fine needles and sutures. Two additional benefits are reduced drag and less potential damage to friable tissue during ...
Needles have different shapes (e.g. j shape, ½ circle, straight) and cutting edges (tapered - round, conventional cutting - triangular) depending on the application and areas of the suture. [21] Sutures can be categorized based on different sizes (e.g.#5-#11, higher numbers represent larger suture diameter) and types (absorbable and ...
holding the needle in position while applying sutures •Silcock's needle holder-do-; has a catch and is used for heavier gauge needles; used mainly for skin, muscle and corneal incisions •Arruga's needle holder-do-; has a catch (lock) and is used for heavier gauge needles (thicker than 6–0); used mainly for skin, muscle and corneal incisions
A standard general surgical needle holder, with a ratchet handle lock. Two specialty needle holders, Mathieu needle holder (above) and Castroviejo needle holder (below). A needle holder, also called needle driver or needle forceps, is a surgical instrument similar to a hemostat, used by doctors and surgeons to hold and push a suturing needle when performing wound closure, ligation and other ...
Sutures may be passed through the rectus muscles before their disinsertion from the globe. Some surgeons also suture one or both oblique muscles. Traction sutures or clamps may be applied to the horizontal rectus muscle insertions to assist in rotating and elevating the globe during the ensuing dissection.
Surgical suture on needle holders. Catgut suture in a vintage glass dispenser. Catgut suture is a type of surgical suture made of twisted strands of purified collagen taken from the small intestine of domesticated ruminants or beef tendon. It is naturally degraded by the body's own proteolytic enzymes.
Catgut sutures were used by the ancient Romans as early as the 2nd century CE. [138] [139] [140] They also used sutures with metallic hooks. [109] Celsus discusses other kinds of suturing techniques in his medical literature. He wrote that the wounds were to be stitched up. Roman doctors used linen, wool, silk, hair, and clips to seal wounds ...
There are two main mechanical types of scissors used in surgery: Ring scissors, which look and function much like standard utility scissors with ring finger loops; Spring forceps are small scissors used mostly in eye surgery or microsurgery. The handles end in flat springs connected with a pivot joint.