Product Manual

87
Step 8.
Advance Square Knot (1=1)
to Wound Surface
The second throw is advanced and set against the
first throw by applying tension to the suture ends
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 and forms a square knot. Ideally, the surgeon
should be able to advance the two-throw, square
knot (1=1) to allow meticulous approximation of
the wound edges. Once exact approximation of
the wound edges is accomplished, the surgeon will
construct a knot using this instrument technique,
with a sufficient number of throws and 3mm cut
“ears” so that knot security is determined by knot
breakage, rather than by slippage.
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