Ninety degrees is the perfect angle and fourth part of a circle. The needle needs to be aligned perfectly at 90 degrees to the tissues, across what you want to stitch and into what you want to stitch. BBASS summarises these principles in Place, Point, Rotate and when conjoined with the previous demonstration (2 February), it bring stability and accuracy to the stitching. The action of pronation and supination and displacement of the wrist from the elbow, defines the position of pick up on the needle and angle of alignment to the needle holder. BBASS offers numerous low fidelity models that will demonstrate needle rotation and enable you to 'home' your surgical skills.

Summary

This engaging teaching session, 'Place, Point, Rotate', aims to equip medical professionals with the skill to effectively navigate the needle driver in various procedures. Having hands-on expertise handling tools is pivotal respecting tissues. This session is an absolute must for those longing to improve their instrument manoeuvrability, reduce procedural complications and ultimately, enhance their surgical performance . Mastering these techniques not only boosts your professional competence but also contributes significantly to better patient outcomes.

Learning objectives

By the end of the session, learners should be able to identify the importance of correct positioning (place) of the needle with respect tot he tissues and why that is important and understand its impact on patient outcomes.
Learners will be able to explain and demonstrate the "point" technique used in rotation the needle with pronation and the importance of the position of pick up on the shaft of the needle.
Participants will obtain the ability to correctly execute rotational movements of supination by understanding how to release the needle to allow the needle..
The learners should gain knowledge about the implications and consequences of incorrect positioning, pointing, and rotation during stitching.
The participants will develop the ability to 'home' their own skills on low fidelity models using the "Place, Point, Rotate" technique, thus promoting a culture of skilful and safe practice in the operating room.

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