Abstract: Background: Microsurgical suturing requires high level of dexterity and practice. Suturing in a deep and narrow operative field poses additional difficulties mainly due to the long microsurgical instruments and the difficulty of manipulating a curved needle. Objective: In this technical note, we describe a simple modification of a classical curved suture needle into a “ski”-shaped needle. Methods: A classical curved needle is stretched using a needle holder. Only the tip of the needle is left slightly bent, imitating a ski. Once the needle is bent into the ski shape, it can be grasped virtually in any position with the needle holder. Results: We have used the ski needle technique suturing in several patients in which the operative field was deep and limited such as dura repair in spinal surgery in obese patients, facial nerve grafting in the internal acoustic meatus and posterior inferior cerebellar artery suturing between the caudal cranial nerves. Conclusion: This modification facilitates free positioning of the needle in the needle holder and as a consequence results in easy and faster microsuturing in a deep and narrow operative field. The ski needle technique was felt to be superior to the classical curved needle technique.


    Access

    Download


    Export, share and cite



    Title :

    “Ski”-shaped microneedle facilitates suturing in a deep narrow surgical field


    Contributors:

    Publication date :

    2020-01-01


    Remarks:

    Open journal of modern neurosurgery ; 2163-0569


    Type of media :

    Article (Journal)


    Type of material :

    Electronic Resource


    Language :

    English


    Keywords :

    Classification :

    DDC:    629



    Automated pick-up of suturing needles for robotic surgical assistance

    D'Ettorre, C / Dwyer, G / Du, X et al. | BASE | 2018

    Free access

    Why is circular suturing so difficult?

    Topolski, Chloe / Dumas, Cédric / Rigaud, Jerome et al. | TIBKAT | 2020


    Internet facilitates fraud

    British Library Online Contents | 2008



    Radio facilitates terminal operations

    Abbott, J.A. | Engineering Index Backfile | 1947