Which technique helps prevent tissue tearing when passing the needle?

Which technique helps prevent tissue tearing when passing the needle?

• A. Rapid needle passage with large tissue bites.
• B. Forcing the needle through tissue with high tension.
• C. Using a blunt needle for all tissue types.
• D. Gentle tissue handling, appropriate bite size, and correct needle entry angle.

Answer: (D)

Preventing tissue tearing during needle passage relies on an atraumatic suturing technique. Tearing happens when tissue is subjected to excessive force, when bites are too large for the tissue, or when the needle is driven in at a poor angle that creates tearing forces as it passes. The best approach is to handle tissue gently, keeping it well supported and motionless with appropriate counter-traction, so the suture can pass without crushing or pulling on the tissue. Choose bite sizes that match the tissue’s thickness and strength—small, controlled bites in delicate tissue and appropriately sized bites in tougher tissue—to distribute the load evenly and avoid focal stress. Align the needle entry angle so the passage occurs with a smooth, oblique or perpendicular trajectory that minimizes shear on the tissue, allowing the needle to glide through rather than tear through. In laparoscopic practice, maintain stable tissue exposure and avoid forcing the needle; use a steady hand and a single, controlled motion for each passage. These elements together reduce trauma and prevent tearing.

Preventing tissue tearing during needle passage relies on an atraumatic suturing technique. Tearing happens when tissue is subjected to excessive force, when bites are too large for the tissue, or when the needle is driven in at a poor angle that creates tearing forces as it passes. The best approach is to handle tissue gently, keeping it well supported and motionless with appropriate counter-traction, so the suture can pass without crushing or pulling on the tissue. Choose bite sizes that match the tissue’s thickness and strength—small, controlled bites in delicate tissue and appropriately sized bites in tougher tissue—to distribute the load evenly and avoid focal stress. Align the needle entry angle so the passage occurs with a smooth, oblique or perpendicular trajectory that minimizes shear on the tissue, allowing the needle to glide through rather than tear through. In laparoscopic practice, maintain stable tissue exposure and avoid forcing the needle; use a steady hand and a single, controlled motion for each passage. These elements together reduce trauma and prevent tearing.