SUTURE Tutorial: Figure-of-8 Technique - Step-by-Step HD Instructions!

MiniMedLessons
22 Dec 201906:43
EducationalLearning
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TLDRThis instructional video introduces the figure-of-eight suturing technique, a variation of the horizontal mattress suture, emphasizing its strength and versatility in hemostasis and tissue approximation. The demonstration details the step-by-step process, highlighting its application in surgical procedures like cesarean sections and neurosurgeries. The video also compares this method to simple interrupted and horizontal mattress suturing, explaining why the figure-of-eight is preferred for its ability to provide tension both across and longitudinally, making it effective for stopping bleeding and closing wounds securely.

Takeaways
  • 📚 The video introduces the figure-of-eight suturing technique, a variation of the horizontal mattress suture.
  • 🌟 The figure-of-eight suture is commonly used for its strength and effectiveness in hemostasis.
  • 👨‍⚕️ Medical professionals, such as obstetricians and neurosurgeons, often use this technique in procedures like cesarean sections and spinal surgeries.
  • 🔍 The technique involves entering the skin at a 90-degree angle and making sure the needle goes through the tissue at the same depth on both sides of the incision.
  • 🔗 The suture pattern creates an angle when tied, resulting in the shape of an 8 or infinity sign beneath the skin.
  • 💪 The figure-of-eight suture provides both transverse and longitudinal tension, effectively compressing the area and aiding in stopping bleeding.
  • 🧵 The technique can be used with both non-absorbable and absorbable sutures, depending on the procedure and tissue type.
  • 👐 The video demonstrates both an instrument tie and a hand surgeon's knot for securing the suture.
  • 📌 It is important to ensure that the suture is tight enough to be effective but not overly tight to avoid strangulation of the skin.
  • 🛠️ The figure-of-eight suture is particularly useful for closing gaps in tissue and is a strong choice for areas with high vascularity.
  • 📈 The video serves as an educational resource for those interested in suturing techniques and medical procedures.
Q & A
  • What is the name of the suturing technique introduced in the video?

    -The suturing technique introduced in the video is called the figure-of-eight suture.

  • How is the figure-of-eight suture related to the horizontal mattress suture?

    -The figure-of-eight suture is a variation of the horizontal mattress suture, sharing some similarities with it but also having its unique aspects.

  • Why is the figure-of-eight suture preferred over the horizontal mattress suture by the speaker?

    -The speaker prefers the figure-of-eight suture because it does not put tension across the longitudinal direction, reducing the risk of skin strangulation and puckering compared to the horizontal mattress suture.

  • What are some common applications of the figure-of-eight suture?

    -Common applications of the figure-of-eight suture include strong hemostasis sutures for lacerations or surgical incisions, such as closing the uterus after a cesarean section, and use in neurosurgery for spinal column surgeries.

  • How does the figure-of-eight suture help with hemostasis?

    -The figure-of-eight suture provides good tension both across the laceration and longitudinally, effectively squeezing the area to aid in hemostasis and control bleeding.

  • What type of suture material might be used for the figure-of-eight suture in deep fascia or uterus closure?

    -For deep fascia or uterus closure, an absorbable suture like Vicryl is often used for the figure-of-eight suture.

  • How is the knot tied for the figure-of-eight suture in the video?

    -In the video, the figure-of-eight suture is tied using an instrument tie for skin closure. However, for deeper tissues like the uterus, a hand-tied surgeon's knot might be used.

  • What is the importance of entering the skin at 90 degrees when suturing?

    -Entering the skin at 90 degrees ensures proper depth and alignment of the sutures, which is crucial for achieving good wound closure and minimizing complications.

  • How does the figure-of-eight suture create its characteristic shape?

    -The figure-of-eight suture creates its shape by making two passes across the laceration or incision in the same direction, which forms an angle and, when tied, results in a pattern resembling the number 8 or an infinity sign.

  • What is the recommended method for passing the needle in the figure-of-eight suture?

    -In the figure-of-eight suture, the needle should be passed in the same direction both times, rather than alternating as in some other suturing techniques, to achieve the desired figure-of-eight pattern.

  • How can one ensure proper tightness with the figure-of-eight suture?

    -To ensure proper tightness, the suture should be pulled evenly across the laceration or incision, and the tension should be adjusted to avoid strangulation of the skin while effectively closing the wound.

Outlines
00:00
🩺 Introduction to Figure-of-Eight Suturing Technique

This paragraph introduces the figure-of-eight suturing technique, a common variation of the horizontal mattress suture. It highlights the technique's similarities with both the horizontal mattress and simple interrupted sutures. The speaker explains their preference for the figure-of-eight over the horizontal mattress due to its ability to distribute tension more effectively and prevent skin puckering. The paragraph also outlines the technique's primary applications, such as in hemostasis for vascular tissues and surgical closures like cesarean sections and neurosurgeries. The demonstration begins with entering the skin at a 90-degree angle and emphasizes the importance of maintaining consistent depth and distance when suturing.

05:01
🩸 Demonstrating and Tightening the Figure-of-Eight Suture

In this paragraph, the speaker continues the demonstration of the figure-of-eight suture technique, focusing on the correct method to tighten the suture. They emphasize the importance of achieving a tight yet not overly tight closure, especially when dealing with bleeding issues. The demonstration is reiterated with less talking, allowing viewers to observe the technique more closely. The speaker also mentions the use of absorbable sutures like Vicryl for deep fascia or uterus closures and the hand-tying of sutures using a surgeon's knot for such instances. The paragraph concludes with an encouragement for viewers to explore more suturing videos and lessons on the channel.

Mindmap
Keywords
💡Suturing
Suturing is a medical procedure that involves stitching the edges of a wound or incision to bring them together and promote healing. In the video, the focus is on a specific suturing technique called the figure-of-eight, which is used for its strength and effectiveness in achieving hemostasis, particularly in areas with high vascularity or when closing tissues like the uterus after a cesarean section.
💡Figure-of-Eight Suture
The figure-of-eight suture is a suturing technique characterized by its pattern, which resembles the number '8' or an infinity sign. It is a variation of the horizontal mattress technique and is favored for its ability to provide strong hemostasis and maintain tension across the wound. This technique is demonstrated in the video as an effective method for closing wounds and surgical incisions, especially in vascular tissues.
💡Horizontal Mattress Suture
The horizontal mattress suture is a type of suturing technique where the needle enters and exits the skin at the same level, creating a flat stitch that lies horizontally across the wound. While it is mentioned in the video that the horizontal mattress technique is not the speaker's favorite due to its potential to cause skin strangulation and puckering, it is also noted that the figure-of-eight suture shares similarities with it but is an improved variation.
💡Hemostasis
Hemostasis refers to the process of stopping or preventing bleeding, which is a critical aspect of surgical procedures and wound management. In the context of the video, the figure-of-eight suture is highlighted as an effective technique for achieving hemostasis, particularly in areas with high blood flow or during surgeries like cesarean sections and neurosurgeries.
💡Neurosurgery
Neurosurgery is a specialized field of medicine that deals with the diagnosis and treatment of conditions affecting the nervous system, including the brain, spinal cord, and nerves. In the video, the figure-of-eight suture is mentioned as a commonly used technique in neurosurgery, particularly for closing the spinal column and strong deep fascia, due to its strength and effectiveness in providing hemostasis and maintaining tissue integrity.
💡Gynecologic Procedures
Gynecologic procedures are medical interventions related to the female reproductive system. In the video, it is mentioned that the figure-of-eight suture is often used by obstetricians during gynecologic procedures, such as closing the uterus after a cesarean section, due to its ability to provide strong hemostasis and ensure the closure is secure.
💡Vicryl Suture
Vicryl is a type of absorbable suture material made from polyglactin 910, a combination of lactide and glycolide. It is commonly used in surgical procedures where the suture material is intended to be absorbed by the body over time. In the video, it is suggested that Vicryl suture might be the preferred choice for certain applications of the figure-of-eight suture, such as in gynecologic surgeries, where an absorbable suture is beneficial.
💡Surgeon's Knot
A surgeon's knot is a type of knot used to secure sutures and is characterized by its strength and stability. It involves an extra half-hitch or throw compared to a standard knot, which helps to prevent the knot from slipping or coming undone. In the video, the speaker mentions that for certain applications of the figure-of-eight suture, like closing the uterus after a cesarean section, a surgeon's knot might be used instead of an instrument tie to secure the suture.
💡Instrument Tie
An instrument tie is a method of tying sutures using a surgical instrument, typically forceps, to grasp and pull the suture ends together. This technique allows for greater precision and control, especially in delicate or deep surgical sites. In the video, the figure-of-eight suture is demonstrated with an instrument tie, showcasing the importance of proper tension and technique in achieving a secure closure.
💡Tension
Tension in the context of suturing refers to the amount of tightness or pull applied to the suture material to close a wound or incision. Proper tension is crucial for effective wound closure, as it helps to minimize complications like skin puckering or breakdown. The video emphasizes the importance of achieving good tension with the figure-of-eight suture to ensure optimal healing and hemostasis.
💡Wound Management
Wound management involves the processes and techniques used to care for and treat wounds, including cleaning, dressing, and closing the wound. Suturing is a critical component of wound management, and the video provides a tutorial on the figure-of-eight suture as an effective method for wound closure, particularly in situations requiring strong hemostasis and secure tissue apposition.
Highlights

Introduction to the figure-of-eight suturing technique.

The figure-of-eight is a variation of the horizontal mattress technique.

Similarities between figure-of-eight and simple interrupted techniques.

The horizontal mattress technique's issue with skin strangulation and puckering.

Preferability of figure-of-eight over horizontal mattress for its strength and application.

Common applications of the figure-of-eight suture for hemostasis and strong tissue closure.

Use of figure-of-eight suture in gynecologic procedures like cesarean sections.

Neurosurgery applications for closing spinal column and deep fascia.

Explanation of the figure-of-eight suture's name, due to the suture's shape under the skin.

Demonstration of entering the skin at 90 degrees for suturing.

Technique for passing through tissue with the needle driver.

Difference in needle loading between horizontal mattress and figure-of-eight.

Tying the figure-of-eight suture for skin closure and hemostasis.

Use of absorbable sutures like Vicryl for deep tissue closure.

Hand-tying the suture with a surgeon's knot for certain applications.

Importance of achieving good tension with the figure-of-eight suture.

Demonstration of the correct technique for figure-of-eight suture.

Transcripts
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