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atment of a simple wound

Figure 4a

L o o p the suture aro und the need le ho ld er in o ne d irectio n and rem em ber the d irectio n
o f the lo o p . G rasp the lo o se end with the need le ho ld er and p ull it thro ugh the lo o p
to m ak e the first k no t. L o wer the k no t so that it clo ses the wo und .

Figure 4b

T he seco nd lo o p sho uld be in the o p p o site d irectio n. A t least 3 k no ts are need ed to
m ak e a suture, alternating fro m o ne d irectio n to the o ther.

Figure 4c Figure 4d

In p rincip le the first k no t lies flat. S eco nd k no t in the o p p o site d irectio n.

Figures 4: Practising making knots using forceps

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