By C. Max Lang D.V.M. (auth.)
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Additional resources for Animal Physiologic Surgery
Instruments and Sutures A B c Fig. 16. Double-threading a needle. III. Suturing (Figs. 17-19) Good apposition of tissues is dependent on choosing the right suture material, needle, and pattern and then using them properly. A needle is less likely to break and is more easily directed if it is held along the shank rather than near the point or the eye. Trauma can be minimized by using the smallest needle that will do the job. There are many varieties of suture patterns (Figs. 17, 18 and 19), but the beginning surgeon should attempt to master only the few basic patterns that are routinely used.
The syringe and needle should be left in position in case additional anesthesia is needed or in case it is necessary to give fluids or emergency drugs through the same needle. III. Insertion of Endotracheal Tube After the stage of surgical anesthesia is produced, an endotracheal tube should be inserted to prevent the aspiration of saliva and to permit positive-pressure ventilation in case artificial respiration becomes necessary. With the dog's neck extended, the tongue is pulled forward with a gauze sponge held in the fingers.
E F Fig. 18. Continuous suture patterns. (A) Simple continuous suture (through-and-through suture). (8) Simple continuous lock stitch. (C) Continuous horizontal mattress suture. (D) Continuous Lembert suture (continuous vertical mattress suture). (E) Pursestring suture, open and (F) closed. 31 C. Max Lang and Carole A. Mancuso c o E F Fig. 19. Subcuticular closure with a continuous horizontal mattress suture. (A) The suture needle is inserted beneath the subcuticular tissue and brought out near the skin edge.