Материал: Руководство+к+тренажеру+_завязывание+узлов_
Surgeon's or Friction Knot
Page 2 of 3
5The loop is slid onto the thumb of the left hand by pronating the pinched thumb and index finger of left hand beneath the loop.
7Left hand rotated by supination extending left index finger to again pass purple strand through forming a double loop.
Purple strand drawn 6 left with right hand
and again grasped between thumb and index finger of left hand.
Horizontal tension is 8 applied with left hand toward and right
hand away from the operator. This double loop must be placed in precise position for the final knot.
Surgeon's or Friction Knot
Page 3 of 3
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With thumb |
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Purple strand |
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swung under |
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released. Left |
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white strand, |
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hand supinates to |
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purple strand is |
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regrasp purple |
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grasped between |
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strand with index |
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thumb and index |
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finger beneath the |
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finger of left hand |
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loop of the white |
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and held over |
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strand. |
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white strand with |
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right hand. |
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11 Purple strand |
Hands continue to apply |
rotated beneath the |
horizontal tension with left hand |
white strand by |
away from and right hand toward |
supinating pinched |
the operator. Final tension on final |
thumb and index |
throw should be as nearly |
finger of left hand |
horizontal as possible. |
to draw purple |
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strand through the loop. Right hand regrasps purple strand to complete
the second throw square.
Deep Tie
Deep Tie
Page 1 of 2
Tying deep in a body cavity can be difficult. The square knot must be firmly snugged down as in all situations.
However the operator must avoid upward tension which may tear or avulse the tissue.
1Strand looped around hook in plastic cup on Practice Board with index finger of right hand which holds purple strand in palm of hand. White strand held in left hand.
Purple strand held in |
2 |
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right hand brought |
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between left thumb |
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and index finger. Left |
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hand turned inward |
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by pronation, and |
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thumb swung under |
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white strand to form |
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the first loop. |
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3 |
By placing index |
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Horizontal tension |
4 |
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finger of left hand |
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applied by pushing |
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on white strand, |
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down on white |
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advance the loop |
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strand with left |
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into the cavity. |
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index finger while |
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maintaining |
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counter-tension |
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with index finger |
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of right hand on |
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purple strand. |
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