By Dr. Michael Echols, 2-4-12
Pins used to approximate the sides of a soft tissue incision, from an 1864 Tiemann surgery set. The pins are round with a round, not a flat head. These needles were found in the paper holder and would have been supplied this way.
In the diagram, the pins are shown with suture material wrapped in a criss-cross on either side of the incision and tied to close the incision, rather than being passed through the tissue.
An image of a Buck's suture pin director is shown, which would have been used to guide the placement of a pin.
From: medicalantiques.com
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