Homemade Surgical Instruments
(A) Creating a ligation spacer: bend a 27-gauge needle 90° with a needle holder.
(B) Making a curved needle: take a 24-gauge cannula needle and curve it with a needle holder to make a loop for use in passing the suture through the aortic arch.
(C) Drag hooks (26-gauge needle) by bending the needle tip to the proper angle, as illustrated above.
(D) The curved needle with suture.