To the Editor.—Yochanan Weiss, MD (Arch Surg 106:735, 1973) is perfectly right that the needle holder can be used with great dexterity without putting one's fingers through the rings. What he probably does not appreciate is that there is already a very large number of American surgeons who have adopted this technique. Most of these men trained at the University of Michigan in Ann Arbor when Dr. Frederick A. Coller was a professor of surgery. All young residents were taught by the older residents that it was faster to use the needle holder without putting one's fingers through the rings. After all, this was the way the director (Dr. Coller) did it.
After my first year in training at Ann Arbor, I was telling my father, who was a dear friend of Dr. Coller, about this technique, and he personally got a big laugh out of it, because he