Some of the instruments (with descriptions) used for closing wounds include: Needle
The main types of needle include:
Tapered
Gradually taper to the point and cross-section reveals a round, smooth shaft.
They are used for easy to tear internal tissues like bowel or blood vessels or can be used to close fascia as part of a two-layer closure.
Cutting
Triangular tip with the apex forming a cutting surface.
Used for tough tissue, such as skin (use of a tapered needle with skin causes excess trauma because of difficulty in penetration).
Reverse cutting needle
Similar to a conventional cutting needle except for the cutting-edge face down instead of up. This may decrease the likelihood of sutures pulling through soft tissue.
Double ended needles are used when anastomosing vessels. They are occasionally seen in your thoracotomy trays and are very useful with pledgets to repair the ventricular wounds.
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