The Efficient Knot: Redefining Simplicity in High-Tension Wound Closure
Ioannis Kyriazidis1,2, Leonidas Pavlidis1,2, Athanasios Papas1,2
1Department of Plastic and Reconstructive Surgery, General Hospital Papageorgiou, Thessaloniki, GRC.
Cureus
|February 10, 2026
Summary
This study introduces a novel single-handed suturing technique for wound closure under high tension. The method simplifies complex maneuvers, allowing precise tissue approximation with minimal non-dominant hand use.
Area of Science:
- Surgical Techniques
- Wound Closure
- Medical Devices
Background:
- High-tension wound closure often necessitates intricate surgical maneuvers.
- Current techniques may require substantial non-dominant hand assistance, complicating procedures.
Purpose of the Study:
- To present a novel, single-handed suturing technique.
- To simplify the process of closing wounds under high tension.
Main Methods:
- A new suturing technique involving a self-locking configuration with the needle holder.
- The technique requires only the dominant hand for needle manipulation and suture securing.
Main Results:
- The technique effectively simplifies high-tension wound closure.
- It allows precise tissue approximation while minimizing non-dominant hand involvement.
- Applicable to various suture types and anatomical locations.
Conclusions:
- The presented single-handed suturing technique offers a simplified approach to wound closure.
- It is versatile, effective for different suture materials and anatomical challenges.
- Enhances surgical efficiency and accessibility for surgeons of all skill levels.
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