1. Needle holders: the instrument is held with the thumb and 4th finger, but there is a right and wrong way to do it (it's all in the thumb!) This also applies to any forceps or scissors with ringed handles. (Fig. 1)
Fig 1a: Incorrect method to hold needle holders or any forceps or scissors with ringed handles. Note how the thumb is too far inside the ring. |
Fig 1b: Correct method to hold needle holders. Note that the only the tip of the thumb is inserted through the ring of the instrument. |
2. Thumb forceps: how the forceps are held can make a world of difference. (Figure 2)
Fig 2a: Incorrect method for holding thumb tissue forceps. This is a clumsy grip that results in greater tissue trauma. |
Fig 2b: Correct and more precise method for holding tissue forceps. |
3. Retractors: holding them properly will avoid having the assistant's hand obscure the surgical field. (Fig. 3)
Fig. 3a: These are Senn retractors, commonly used in veterinary surgery. |
Fig. 3b: Incorrect grip on the retractor. The fingers are too close to the end of the retractor resulting in the fingers and hand interfering with the surgical exposure. |
Fig. 3c: Correct grip on the retractor which will keep the fingers away from the surgical field. |
4. Cutting suture ends after tying a knot: here's a hint, use the tips! (Fig. 4)
Figure 4b: Correct method; using the scissor's tips allow the assistant to see the distance between the knot and the length being cut. |
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