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).
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.[Additional content on this page is restricted to Registered Medical Professionals]