Suturing or sewing during surgery usually serves one of two purposes:
Most suturing is done using curved surgical needles and a "needle holder" or "needle driver." Normally, the needle is grasped with the needle driver at a right angle to the needle, approximately half-way to two-thirds of the way back from the tip. In special situations, you may want to grip the needle a little closer to the tip, and sometimes you will want to angle the needle a small amount. Don't angle it too much or the needle holder may lose it's grip on the needle.
Typically, you will employ tissue forceps to support or grasp the material you are trying to sew. Ideally, you would use the tissue forceps to support the tissue while you drive the needle through the supported tissue. This is the least traumatic way of sewing. In many or most surgical situation (particularly deep in the pelvis), it is not possible to effectively sew in this way and you must grasp the tissue with the tissue forceps before driving the needle through the tissue.
After driving the needle through the tissue you wish to sew, push it through or pull it through, following the curve of the needle. Watch this video show a variety of suturing situations.
Several important tips to keep in mind are:
OB-GYN 101: Introductory
Obstetrics & Gynecology
Contents · Introduction · Learning Objectives · Clinical Issues · Procedures · Library · Pharmacy · Lab · Chest X-ray · Ultrasound · Videos · Forms · Progress Notes · Facts Cards · Students · Search · Feedback · About Us