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持针器的左手握持法:给外科实习生的一份技术报告

Left-Handed Palming of the Needle Driver: A Technical Report for Surgical Trainees.

作者信息

Powers Andrew Y, Rosenthal Alex E, Mackel Charles E, Riordan Coleman P, Moses Ziev B

机构信息

Division of Neurosurgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

出版信息

Cureus. 2024 Apr 9;16(4):e57931. doi: 10.7759/cureus.57931. eCollection 2024 Apr.

DOI:10.7759/cureus.57931
PMID:38738035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11081786/
Abstract

Left-handed surgical trainees are uniquely challenged when learning how to suture using standard needle drivers designed for right-handed individuals and often feel disadvantaged in comparison to their right-handed peers. "Palming," a suturing technique that improves suturing mechanics and efficiency, cannot be achieved in the standard manner using the left hand. This paper proposes a previously undescribed technique for palming using the left hand that provides many of the same benefits as standard palming methods using the right hand, potentially reducing a common source of inequity in surgical training.

摘要

对于左撇子外科实习生来说,在学习如何使用为右撇子设计的标准持针器进行缝合时面临着独特的挑战,与右撇子同行相比,他们常常觉得自己处于劣势。“握掌法”是一种能改善缝合力学和效率的缝合技术,用左手无法以标准方式实现。本文提出了一种此前未被描述的左手握掌法技术,它能带来与右手标准握掌法许多相同的益处,有可能减少外科培训中一个常见的不平等根源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e612/11081786/3415770448d4/cureus-0016-00000057931-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e612/11081786/a8036ffe51f2/cureus-0016-00000057931-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e612/11081786/3415770448d4/cureus-0016-00000057931-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e612/11081786/a8036ffe51f2/cureus-0016-00000057931-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e612/11081786/3415770448d4/cureus-0016-00000057931-i02.jpg

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本文引用的文献

1
Left-Handedness Among Orthopaedic Surgeons and Trainees.骨科外科医生及实习医生中的左利手现象。
JB JS Open Access. 2020 Jun 9;5(2). doi: 10.2106/JBJS.OA.20.00019. eCollection 2020 Apr-Jun.
2
Left-handedness in cardiac surgery: who's right?心脏手术中的左撇子:谁是对的?
Acta Chir Belg. 2020 Jun;120(3):212-216. doi: 10.1080/00015458.2019.1642599. Epub 2019 Jul 16.
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Prevalence and Impact of Left-Handedness in Neurosurgery.神经外科手术中左利手的患病率及影响
World Neurosurg. 2018 Jun;114:e323-e328. doi: 10.1016/j.wneu.2018.02.180. Epub 2018 Mar 31.
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Challenges training left-handed surgeons.培训左撇子外科医生面临的挑战。
Am J Surg. 2017 Sep;214(3):554-557. doi: 10.1016/j.amjsurg.2016.12.011. Epub 2016 Dec 31.
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Left-handed surgical instruments - a guide for cardiac surgeons.左手用手术器械——心脏外科医生指南
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Needle holders--an instrument especially for the left-handed surgeon.持针器——一种专为左撇子外科医生设计的器械。
J Dermatol Surg Oncol. 1988 May;14(5):505-6. doi: 10.1111/j.1524-4725.1988.tb01144.x.