Product Manual

63
Step 16.
Advance Surgeon’s Knot
Square (2=1) to Wound Surface
The single-wrap throw is advanced and set against
the first double-wrap throw by applying tension
in a direction (arrows) perpendicular to that of
the wound. Advancement of the second throw
is complete when the second throw contacts
the first throw to form a surgeon’s knot square
(2=1). The direction of the tension applied to the
suture ends of the first throw is opposite to that
exerted on the suture ends of the second throw.
Once exact approximation of the wound edges is
accomplished, the surgeon will construct a knot
with a sufficient number of throws and 3mm cut
“ears” so that knot security is determined by knot
breakage, rather than by slippage.
3