Needleholders?

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ekimsurfer

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Hey guys,
Can anyone recommend any decent needleholders that are not crazy expensive and get the job done relatively well. Since I'm just beginning to throw stitches I'm not looking to get the imported German ones made of platinum and diamonds lining the sides. Also, what is the major difference between Mathieu and Mayo Hegar types? I hear it's just a matter of preference. Thanks.
 
Hey guys,
Can anyone recommend any decent needleholders that are not crazy expensive and get the job done relatively well. Since I'm just beginning to throw stitches I'm not looking to get the imported German ones made of platinum and diamonds lining the sides. Also, what is the major difference between Mathieu and Mayho Hegar types? I hear it's just a matter of preference. Thanks.

They sell needle drivers on amazon and on some piercing/tattoo websites. They're not expensive - probably about $6.

The Mathieu, as far as I can tell, is a heavier version of the Castroviejo. It doesn't look like your standard needle driver - there are no fingerholes, and look more like a pumped-up version of tweezers. I've never seen it used in general surgery - I think I saw it used once in ENT. The Mayo-Hegar is the standard needle driver.

http://www.delasco.com/pcat/1/Instruments/ALLNH/
 
They sell needle drivers on amazon and on some piercing/tattoo websites. They're not expensive - probably about $6.

The Mathieu, as far as I can tell, is a heavier version of the Castroviejo. It doesn't look like your standard needle driver - there are no fingerholes, and look more like a pumped-up version of tweezers. I've never seen it used in general surgery - I think I saw it used once in ENT. The Mayo-Hegar is the standard needle driver.

http://www.delasco.com/pcat/1/Instruments/ALLNH/

Damn! Strong work by a med stud! A+ on your eval. 👍
 
The other thing is to steal, uh I mean obtain a suture kit with a needleholder in it. Now granted, they are floor grade instruments and not so great. However, if you can suture with that crap then using the good stuff will never be an issue.

As far as needle holders go there are basically just variations on two themes although there are at least fifty different types. One being a Mayo-Hegar type with finger rings and shanks and the other being the Castro which is more like a forcep and for much more delicate work.

BTW, don't ever say tweezers!

-Mike
 
Webster is a plastic surgeon's best friend.

I thought olsen hagers were a plastic surgeon's best friend. They save me time in the OR if i don't have a med student cutting sutures for me.
 
Thanks for the ideas, but I'm still not sure which to get. I know the Mayo's are more traditional, but are these what I can expect to use for the majority of the next 4 or 5 years or should I practice with a different style...Castroviejo, Webster, Olsen etc. since I eventually plan on going into CT surgery or Plastics?

What makes a needleholder built better than its competitors? Some of them look pretty much the same to me and since I'm not a surgeon yet I haven't the slightest clue. Are some built for speed or comfort?...haha

"Did you go motor-boatin'...you motor-boatin' son of a ****h...are they built for speed or comfort?" - Vince Vaughn in Wedding Crashers :laugh:
 
BTW, don't ever say tweezers!

Oh, sorry...but the Mathieu doesn't look like a pair of forceps to me. They look a lot more like the very fancy eyebrow tweezers that my mom uses for her eyebrows...😕

Thanks for the teaching point, though. One of my residents painstakingly went over the difference between tweezers and forceps, so I can see why you were making a specific point about that. 🙂

Actually, now that I look at them, the Mathieu look more like very delicate pliers than anything else....
 
Honestly, if I were you, I wouldn't spend any money on this. Just have one of the residents get you a wound closure tray. You can find these kits in the ED or in the supply room on the floors. They usually contain disposable needle drivers and pickups which work just fine. Also you if you get to know the scrub nurses well, you could ask them for discarded instruments. I would try to get a pair of Adson forceps if you can. First you should practice closing skin.

One easy way is to practice is to use scrub brushes. Open them up and let them dry first. If you want, you can color the surface with a Sharpie to simulate the layer of epidermis. Then use a scalpel and make and incision on the sponge. Practice closing it with simple interrrupted, simple running, and running subcuticular stitches. Practice tying knots, instrument knots and two handed knots first.

Before you start, I would ask a resident that you are friendly with to go over with you a few simple things, e.g. tying knots, throwing stitches with even spacing, entering the skin perpendicularly, how to end a running subcuticular by burying the knot, etc. Even though you can learn some things by watching, a person can save you lots of time by physically showing you how to do it. Once you learn the basics, you can try some two handed knots or vertical mattrress or horizontal mattress sutures later on for fun.

IMHO though, I would not suggest spending a great deal of time learning these things now because while it is fun, it is just gravy at this stage of your training. I wouldn't worry about learning anything beyond simple running and subcuticualr stitches, two-handed ties and instrument ties as a student. You will have plenty of time for it later residency. I would mostly focus on doing well in classes and learning the thought process that goes on in surgery. Good luck and have fun!
 
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