By C. Max Lang D.V.M. (auth.)
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27 C. Max Lang and Carole A. Mancuso A B c Fig. 15. Proper method of holding a curved needle and threading it from the inside. 28 2. Instruments and Sutures A B c Fig. 16. Double-threading a needle. III. Suturing (Figs. 17-19) Good apposition of tissues is dependent on choosing the right suture material, needle, and pattern and then using them properly. A needle is less likely to break and is more easily directed if it is held along the shank rather than near the point or the eye. Trauma can be minimized by using the smallest needle that will do the job.
Sponge-holding forceps E. Backhaus towel damp F. Needle-holder 3. Retractors (Fig. 12) A. Balfour abdominal retractor 21 C. Max Lang and Carole A. Mancuso Dressing forceps ) Kelly forceps Allis tissue forceps Tissue forceps Halstead mosquito forceps 1 Mixter forceps Backhaus towel clamp Sponge holding forceps Needle holder Fig. 11. Surgical instruments used for crushing and grasping. 22 2. Instruments and Sutures Balfour abdominal retractor Richardson retractor Senn retractor Weitlaner retractor Fig.
F) As the knot is tightened, it slips beneath the subcuticular layer. 32 2. Instruments and Sutures A Fig. 20. Removal of a skin suture. (A) Surface of disinfected skin, showing skin suture . (8) One end of the suture is grasped with a pair of forceps and pulled upward at a right angle to the skin surface, thus exposing a portion of the suture that has been buried in the skin. The suture is cut at that point. (C) The suture is gently pulled out of the skin. skin sutures should be left in longer.
Animal Physiologic Surgery by C. Max Lang D.V.M. (auth.)