title: Frimand Needle Holder Reduces Suturing Time and Surgical Stress When Suturing in Palm Grip.
abstract: Purpose The Frimand needle holder (FNH) was developed to facilitate palm grip suturing. In the present study, we wanted to examine the impact of the FNH compared with a conventional Hegar-styled needle holder (HSNH) on suture time and surgical stress. Methods Thirty-two surgeons were enrolled and they performed sets of 3 continuous sutures on a polyurethane pad with premarked insert and exit points and the time for suturing was measured. Surgical stress was quantified by having the surgeons to perform 10 release maneuvers with the FNH and the HSNH on a needle attached to a scale. The scale sent 5 values per second to a computer. The first measurement of each series was regarded as the starting weight and all subsequent measurements were either regarded as neutral, pressure or traction. The sum of these measurements represented total surgical stress. Results We found that all surgeons reduced their median suturing time by 16% when using FNH for palm grip suturing with no difference between junior and senior surgeons. Moreover, it was observed that FNH decreased median surgical stress by 62% for all surgeons performing palm grip suturing compared with a conventional HSNH. Conclusion We conclude that the FNH reduces suture time and surgical stress compared with HSNH when performing palm grip suturing. These findings warrant studies in surgical patients in order to evaluate the potential clinical impact of FNH.
authors.affiliation: Lund University, Malmö, Sweden carl-fredrik.ronnow@med.lu.se.
authors.forename: Carl-Fredrik
authors.initials: CF
authors.lastname: Frimand Rönnow
authors.affiliation: Lund University, Malmö, Sweden.
authors.forename: Bengt
authors.initials: B
authors.lastname: Jeppsson
authors.affiliation: Lund University, Malmö, Sweden.
authors.forename: Henrik
authors.initials: H
authors.lastname: Thorlacius
mesh_terms: D015331:Cohort Studies; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D009339:Needles; D061646:Operative Time; D013314:Stress, Mechanical; D066231:Surgeons / Q000706:statistics & numerical data; D013525:Surgical Instruments; D013514:Surgical Procedures, Operative / Q000379:methods; D013536:Suture Techniques / Q000295:instrumentation*; D013647:Task Performance and Analysis
keywords: operative technique; surgery; trauma; wound healing