Christoffer Bing Madsen med. student and Magnus Balslev Avnstorp MD.
Most surgical knots in skin/tissue reconstruction are conducted by making an instrument tie.
- Grasp the leading/long end of the suture between thumb and index finger and drag to make the short end as short as possible
- Place the needle driver between leading and short/trailing end of the suture
- Wind the long end twice around the needle holder
- Grasp the short end of the suture
- Pull the strands in opposite directions perpendicular to the wound edge, with arms crossed
- Release trailing end by the needle driver
- For the second throw wind the needle driver once around the leading strand and grasp the short end while moving hands in opposite directions
- Perform af third and fourth knot
- Place the knot on the one side of the wound edge
- Cut the ends 5 mm long
- Do the 7th step once more, and you are done.