PMID- 3069175
OWN - NLM
STAT- MEDLINE
DCOM- 19890509
LR  - 20190705
IS  - 0007-1323 (Print)
IS  - 0007-1323 (Linking)
VI  - 75
IP  - 12
DP  - 1988 Dec
TI  - Techniques for better suturing.
PG  - 1181-4
AB  - Suturing techniques enhancing the accuracy of suture placement and reducing the 
      forces on the tissue being sutured were evaluated in six surgeons, each with 6 
      years' surgical experience. The accuracy was assessed by the distance between the 
      actual and designated needle exit sites. Force was expressed in terms of the 
      torque on the needle holder using a maximum of the torques (max. F), maximum 
      derivative (dF/dt) and integral (IF). The effects of four factors (suturing 
      techniques) on suturing were evaluated: (1) placement of the needle holder on the 
      needle; (2) inclining the tissue at needle entrance, as is commonly done by 
      elevating with forceps (unnoted role of the forceps); (3) adjustment of the 
      needle's exit during suture placement, as is unknowingly employed in practice, 
      and (4) variation between individual surgeons. All these factors affected the 
      accuracy and force of suturing. Gripping the needle closer to the tip strongly 
      reduced the max. F, dF/dt, and IF per time, as did inclining the tissue. 
      Adjustment of exit improved accuracy, but has the potential for causing avoidable 
      tissue injuries. Differences between surgeons suggest the necessity of addressing 
      fundamental surgical techniques and formally incorporating them into the training 
      programme.
FAU - Seki, S
AU  - Seki S
AD  - Department of Acute Medicine, Okayama University School of Medicine, Japan.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Br J Surg
JT  - The British journal of surgery
JID - 0372553
SB  - IM
MH  - Biomechanical Phenomena
MH  - Clinical Competence
MH  - Humans
MH  - Models, Structural
MH  - *Suture Techniques/standards
EDAT- 1988/12/01 00:00
MHDA- 1988/12/01 00:01
CRDT- 1988/12/01 00:00
PHST- 1988/12/01 00:00 [pubmed]
PHST- 1988/12/01 00:01 [medline]
PHST- 1988/12/01 00:00 [entrez]
AID - 10.1002/bjs.1800751212 [doi]
PST - ppublish
SO  - Br J Surg. 1988 Dec;75(12):1181-4. doi: 10.1002/bjs.1800751212.