How To Suture: Intro To Suturing Like a Surgeon
TLDRThis engaging video tutorial offers a concise guide to suturing techniques from a surgeon's perspective. The host begins by acknowledging the support from Medical Creations, who provided the suture kit used in the video. The kit includes essential instruments such as forceps, a needle driver, scalpel, hemostat, and scissors, along with suture material. The video dives into the practical aspects of suturing, starting with how to attach the needle to the needle driver at a 90-degree angle and the correct way to hold the instrument. The presenter then demonstrates the process of suturing, emphasizing the importance of stability and precision, and shares tips for handling the suture material to maintain sterility. The video covers the simple interrupted suture, also known as a single stitch, and touches on different types of sutures and knots, promising a deeper exploration in subsequent videos. The host also highlights the figure-eight suture stitch, useful for ligating blood vessels or closing certain types of incisions. The tutorial is practical, providing viewers with foundational suturing skills and a glimpse into more advanced techniques to be discussed in future videos.
Takeaways
- π₯ This video is the first in a series that will teach about suturing, including suture materials and instruments.
- π¦ Medical Creations sponsored the video and provided a suture kit containing forceps, needle driver, scalpel, hemostat, and scissors.
- 𧡠The suture material used in the video is a 4-0 silk suture, and different types of sutures and needles will be discussed in later videos.
- π When attaching the needle to the needle driver, a 90-degree angle is preferred, and the position can be adjusted based on the surgeon's comfort.
- π€ Holding the needle driver with the thumb and ring finger provides stability, while palming the needle driver offers more freedom of movement.
- π¦ A toothed forceps, or matsan pickup, is specifically used for skin to ensure a better grip.
- β Placing the finger close to the tip of the needle driver increases steadiness, and resting hands or elbows can further stabilize the process.
- π The technique of 'palming' allows for better control and rotation of the needle driver, which can be practiced at home.
- πͺ’ When tying the suture, it's important to leave enough length for tying and avoid making the loop too small, which can hinder the process.
- π€ Holding tissue with forceps instead of the needle itself prevents the needle from moving and maintains tissue stability.
- π Minimizing the handling of the needle reduces the risk of accidental puncture, and the needle is less dangerous when not attached to the driver.
- π A simple interrupted suture, or single stitch, is demonstrated, and more types of sutures and knots will be covered in subsequent videos.
Q & A
What is the purpose of the video?
-The video is a quick and dirty guide on how to suture from a surgeon's perspective, and it is the first in a series of videos that will teach about suturing, suture materials, instruments, and related topics.
Who sponsored the video and provided the suture kit?
-The video was sponsored by Medical Creations, who also provided the suture kit used in the demonstration.
What are the components of the suture kit mentioned in the video?
-The suture kit includes a pair of forceps, a needle driver, a scalpel, hemostat, and scissors, along with a bunch of suture material and a pad for practicing suturing.
How should the needle be positioned on the needle driver?
-The needle should be positioned at about a 90-degree angle to the needle driver. Sometimes, a slight forward angle is used to better triangulate the desired spot for suturing.
What is the recommended way to hold the needle driver for beginners?
-For beginners, it is recommended to use the thumb and ring finger to hold the needle driver, avoiding the index or middle finger.
What type of pick up is used for skin in suturing?
-A toothed pick up, specifically designed for skin, should be used when suturing.
How does the surgeon stabilize the needle driver and needle?
-The surgeon stabilizes the needle driver and needle by placing the finger as close to the tip of the needle driver as possible, and resting hands, elbows, or wrists on stable surfaces when possible.
What is the technique used to secure the suture in place?
-The surgeon uses a technique of making a loop with the suture, pulling it through, and then laying it down to approximate the tissue without strangulating it. A square knot is then made for security.
What is the term for the type of suture demonstrated in the video?
-The type of suture demonstrated is called a simple interrupted suture or stitch.
How should a long suture be managed to maintain sterility?
-To maintain sterility, the long suture should not be pulled high or touched to the face. Instead, it should be laid out in a sterile field away from the surgeon's face.
What is the significance of making a large loop when tying a knot in suturing?
-Making a large loop when tying a knot allows for easier manipulation and ensures that there is enough length to tie a secure knot without the suture getting caught or tangled.
What is the figure eight suture stitch used for?
-The figure eight suture stitch is used for ligating blood vessels and can also be used for certain types of abdominal incisions, such as those made for a laparoscope port.
Outlines
π Introduction to Suturing Techniques
The first paragraph introduces the video's focus on suturing techniques from a surgeon's perspective. It is the first in a series that will cover suture materials, instruments, and more. The video is sponsored by Medical Creations, who provided a suture kit that includes forceps, needle driver, scalpel, hemostat, and scissors. The speaker begins by demonstrating how to attach the needle to the needle driver and emphasizes the importance of a 90-degree angle for accurate suturing. They also discuss different hand positions for holding the needle driver for better control and stability. The paragraph concludes with a demonstration of how to suture a skin incision with two bites.
π Suturing Steps and Knot Tying
The second paragraph delves into the process of suturing, including how to handle the suture needle and the importance of not touching the needle too much to avoid accidental pokes. The speaker explains how to tie knots effectively, starting with two wraps to create a large loop, which is crucial for a secure knot. They demonstrate tying a simple interrupted suture, also known as a simple stitch, and mention that there are various types of sutures and knots that will be covered in future videos. The paragraph also covers the technique of palming the needle driver for more control and the process of making a figure-eight suture stitch, which is useful for ligating blood vessels or securing certain types of incisions.
π Conclusion and Engagement Invitation
The final paragraph serves as a conclusion to the video, summarizing the basic suturing techniques that have been demonstrated. The speaker encourages viewers to watch additional videos for more information on hand tying and different types of sutures. They express gratitude to the viewers for watching and prompt them to subscribe, like, share, and comment on the video.
Mindmap
Keywords
π‘Suture
π‘Suture Kit
π‘Needle Driver
π‘Silk Suture
π‘Forceps
π‘Surgical Knot
π‘Simple Interrupted Suture
π‘Figure Eight Suture
π‘Hand Tying
π‘Sterility
π‘Medical Creations
Highlights
This video is a quick and dirty guide to suturing from a surgeon's perspective.
It is the first in a series of videos that will teach about suturing, suture materials, instruments, and more.
Medical Creations sponsored the video and provided a suture kit used in the demonstration.
The suture kit includes forceps, needle driver, scalpel, hemostat, and scissors, along with suture material and pads.
The presenter demonstrates how to properly place the needle on the needle driver at a 90-degree angle.
Correct hand positioning in the needle driver is crucial for stability and control.
A toothed forceps, or matsan, is specifically for skin and helps in picking up the suture.
The presenter emphasizes the importance of keeping hands, elbows, or wrists steady for precision.
A two-bite technique is shown for closing incisions, with the needle driver positioned two-thirds back on the needle for the next bite.
The tissue should stay stable once the needle is in place, reducing the need to hold it with forceps.
A tip for managing the long suture is to use the fourth finger to hold and pull the suture down, keeping it sterile.
When tying the suture, it's important to leave enough length and avoid making the loop too tight.
The presenter demonstrates how to tie a square knot for securing the suture.
A simple interrupted suture, or stitch, is used for closing incisions, and other types will be covered in future videos.
Palming the needle driver allows for more rotation and control, though it may not be preferred by all surgeons.
The presenter advises against touching the needle too much to reduce the risk of accidental puncture.
A figure-eight suture stitch is shown, useful for ligating blood vessels or certain abdominal incisions.
The video concludes with a reminder that this is a basic introduction, with more advanced suturing techniques to be covered in subsequent videos.
Transcripts
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