Surgeon and Assistant

This advanced module is presented to the 3rd year students later in their clerkship, after they’ve had training in basic suturing, and have had a chance to scrub into surgery.

The students work in pairs (Surgeon, and Assistant) to close two lacerations in intestines (cow or pig, depending on availability).

A short segment of animal intestine is secured to a clip board.
A short segment of animal intestine is secured to a clip board.

Before beginning their repair, they are given brief instructions on how to close these lacerations in two layers. First, the outer two-thirds (not perforating the mucosa), followed by an imbricating layer to bury the first layer, creating a water-tight closure.

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Notes from a Medical Educator