Loading the Needle Holder Demonstration

00:05 In this video I'm going to demonstrate this simple interrupted stitch.

00:08 You start by loading the instrument in such a way that the needle is about halfway down the length of the instrument.

00:15 Okay, we're right at the tip of the instrument, very close to the end here.

00:19 The teeth on the instrument will hold just as well out here as they do down here.

00:23 And you'll have much more control.

00:25 I have mine just a little bit over 90 degrees.

00:27 If you have it less than 90 degrees at an angle that's inward, that's going to be detrimental to you.

00:32 Outward is okay but pretty much close to 90, you'll find it's much easier.

00:37 Now I have a good balance of radius to work with and leverage to get really far back to the edge here.

00:42 I may find that I start popping off the needle just because I'm crimping it. I may come loose there.

00:47 If I get out here then obviously I'm right by the tip of it.

00:50 It's sharper. I may be doling it up.

00:51 At the same time, I may be potentially causing trauma to my suture but I also won't have much travel to get into the tissue.

00:58 So finally grayed out here I can't really poke it in very well.

01:01 So if you're really far back the opposite is true.

01:03 I can poke in really far but I don't have a lot more leverage and I've bend my needle.