with The Microsurgery Arena
Using 6/0 or finer suture under appropriate magnification — loupe or microscope — this full exercise allows various wrist movements essential in any microsurgical procedure. The wrist is used in forward, reverse and bilateral motion, allowing supreme flexibility for safe suture placement in a vessel wall.
This exercise allows you to handle the micro needle and instruments to guide the suture carefully through the holes. The interplay between the Jewellers forceps and the micro needle holder is better appreciated here — and yes, it also lets you re-use the micro suture multiple times.
Once handling of the microsuture needle and the instruments is improved, this exercise allows completing a basic microsuture across the grids of the silicone mesh. Getting the right tension and "squaring" knots securely are essential skills for leak-proof vessel repair. The only limit is the available suture packs — there are plenty of practice grids for you.
