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Annular suturing. A rubber band is positioned around 4 or 5 anchoring points to create an annular shape. Needles can be passed forehand, backhand, or alternating. A full-length suture can be used to practice appropriate suture spacing. Alternatively, a needle with only a small suture tail can be used to focus on needle angles, needle handling and reloading, and forceps dexterity.
