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During the suturing of blood vessels with 00000 arterial silk on atraumatic needle, it became apparent, especially in deeper wounds, that the ordinary needle holder with the ring-type handle and lock, even when equipped with diamond jaws, was not entirely adequate. The ring-type needle holder on unlatching causes, in most instances, a small amount of movement of the needle while the latter is being released. This motion at times is enough to form small tears at the needle hole. It was noted that the 00000 arterial silk with a swedged-on needle pierced the blood vessels in coarctation, Blalock, Potts, and other cardiovascular procedures with very little force, and when the needle was held in the usual vascular thumb forceps it could easily be pushed through the vessel. The only difficulty was placing and holding the needle in proper position in the thumb forceps.
With the premise that a thumb forceps-type
Giannini AP. CARDIOVASCULAR NEEDLE HOLDER FOR DELICATE SUTURING. JAMA. 1955;158(16):1441–1442. doi:10.1001/jama.1955.02960160035007f
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