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Needle Holders and Suturing Devices
Different methods of suturing for advanced laparoscopic and thoracoscopic procedures include extracorporeal knot tying, intracorporeal knot tying, and intracorporeal suturing. A variety of needle holders and suture assist devices are available for this purpose. The most common diameter needle holders used are 5 mm, although 3 mm diameter instruments are available for smaller patients. Endoscopic needle holders most commonly come with straight handles (ssss1) rather than ring handles to provide a more ergonomic motion while manipulating suture and needle. The handles lock via a ratchet mechanism.
ssss1 KOH macro‐endoscopic needle driver with straight handle. Used with a wide range of suture and needle sizes; from 0/0 to 7/0.
Source: © 2014 Photo courtesy of KARL STORZ SE & CO, KG.
ssss1 Endoscopic needle holders (from top to bottom): straight jaws, jaws curved to the left, jaws curved to the right, Szabo‐Berci needle holder (“Parrot Jaw”), and Szabo‐Berci assistant needle holder (“Flamingo Jaw”).