Abstract: The needle holder includes a primary hollow shaft, a secondary hollow shaft attached to the primary hollow shaft in a generally “T” configuration, a pair of extendible jaws rotatably positioned at a distal end of the primary shaft, a trigger mechanism mounted on the primary shaft for selectively extending the jaws, a first rotation member in the primary shaft, a second rotation member in the secondary shaft, a driven gear attached to the first rotation member, and a drive gear attached to the second rotation member and configured to selectively engage the first gear. The jaws are selectively extendible and rotatable.