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An atraumatic needle for fascia sutures
AN ATRAUMATIC
NEEDLE FOR FASCIA SUTURES
J. DEWEY BISGARD, M.D. Assistant Professor of Surgery, University of Nebraska CoIIege of Medicine OMAHA, NEBRASKA
F
threaded through the eye of the standard needle used for fascia1 sutures produces a mass at the end of
ASCIA
To secure the fascia in pIace, two devices have been used and have proved equaIIy satisfactory. AccordingIy, there are two \
FIG. I.
the needIe which is considerabIy Iarger than the needIe itseIf. In my experience the resistance offered to passage of this mass through the channe1 cut by the needIe causes tearing and undesirabIe insuIt to tissues through which it passes. To obviate this difficuIty the needie iIIustrated was designed. (Fig. I .) The head of the needIe contains a s1o.t into which one end of the strip of fascia is inserted. This is accompIished simpIy and quickIy by hoIding the fascia taut between two tissue forceps whiIe the needIe is sIipped on obIiqueIy as shown in Figure 2.
525
FIG.
2.
types of needIes avaiIabIe. In the one iIIustrated here, the fascia is engaged by a siIk suture passed through the driI1 hoIes in the Aanges. In the other type the flanges are AexibIe and one has serrations along its edge. The fascia is gripped by squeezing the Aanges together with a hemostat. The Iatter type can be appIied more simpIy and 8Ithough the Aanges can be spread and compressed repeatedIy, it is not indefiniteIy durabie as is the former type. After the needle has been f+mIy fixed, the tissue protruding from the side of the needIe is trimmed off with scissors.
NEEDLE FOR FASCIA SUTURES
J. DEWEY BISGARD, M.D. Assistant Professor of Surgery, University of Nebraska CoIIege of Medicine OMAHA, NEBRASKA
F
threaded through the eye of the standard needle used for fascia1 sutures produces a mass at the end of
ASCIA
To secure the fascia in pIace, two devices have been used and have proved equaIIy satisfactory. AccordingIy, there are two \
FIG. I.
the needIe which is considerabIy Iarger than the needIe itseIf. In my experience the resistance offered to passage of this mass through the channe1 cut by the needIe causes tearing and undesirabIe insuIt to tissues through which it passes. To obviate this difficuIty the needie iIIustrated was designed. (Fig. I .) The head of the needIe contains a s1o.t into which one end of the strip of fascia is inserted. This is accompIished simpIy and quickIy by hoIding the fascia taut between two tissue forceps whiIe the needIe is sIipped on obIiqueIy as shown in Figure 2.
525
FIG.
2.
types of needIes avaiIabIe. In the one iIIustrated here, the fascia is engaged by a siIk suture passed through the driI1 hoIes in the Aanges. In the other type the flanges are AexibIe and one has serrations along its edge. The fascia is gripped by squeezing the Aanges together with a hemostat. The Iatter type can be appIied more simpIy and 8Ithough the Aanges can be spread and compressed repeatedIy, it is not indefiniteIy durabie as is the former type. After the needle has been f+mIy fixed, the tissue protruding from the side of the needIe is trimmed off with scissors.