Punto de sutura continuo simple

脕rea Blanca
22 Dec 201707:07
EducationalLearning
32 Likes 10 Comments

TLDRThe video script offers a detailed tutorial on performing a continuous suture technique, specifically focusing on a simple suture (surf gt). It emphasizes the importance of this technique for extensive wounds and explains the process step by step, starting from the vertex of the wound and moving laterally to maintain equidistant points. The tutorial also covers how to generate tension, properly approximate wound edges, and securely tie surgical knots. The goal is to provide a clear understanding of the procedure, ensuring hermetic closure and gentle handling of tissues, with a promise to explore the anchored suture technique in a future lesson.

Takeaways
  • 馃У The class focuses on teaching how to perform a continuous suture technique, specifically a simple suture (surf gt).
  • 馃摎 There are two types of surf gt: simple and anchored, with the latter being discussed in a future class.
  • 馃攳 Sutures are often performed on deep planes, suitable for extensive wounds, providing hermetic closure and being quicker to execute.
  • 馃寪 The technique for simple sutures is generally preserved for continuous sutures, with the main difference being the starting point and the progression along the wound.
  • 馃搷 The process begins at the vertex of the wound, preferably the proximal vertex, and progresses laterally to maintain equidistant points.
  • 馃 A fundamental aspect is to maintain a relationship between suture points, ensuring they are evenly spaced and tension is appropriately applied to approximate the wound edges.
  • 馃敆 The suture is tractioned, leaving about three centimeters of slack, and a surgical knot is tied using a third throw.
  • 馃攧 The technique involves making two loops over the needle holder and securing the knot for a hermetic closure.
  • 馃憣 Attention to detail is crucial, especially when approximating the wound edges, to ensure a gentle handling of tissues.
  • 馃攳 The class demonstrates the technique step by step, emphasizing the importance of even tension and proper knot-tying throughout the procedure.
  • 馃摑 The importance of maintaining the relationship between the distance of each suture point and the curvature of the needle introduction into the tissue is highlighted.
Q & A

  • What is the main topic of the class?

    -The main topic of the class is learning how to perform a continuous suture technique.

  • What type of suture is being discussed in the beginning?

    -The type of suture being discussed in the beginning is a simple continuous suture, also known as surf gt.

  • What are the two types of surf gt mentioned?

    -The two types of surf gt mentioned are the simple and the anchored.

  • Why are sutures performed in deep planes recommended?

    -Sutures performed in deep planes are recommended because they are suitable for extensive wounds, provide airtight closures, and are quicker to perform as there is no need to cut the suture and tie knots repeatedly.

  • How does the technique for continuous sutures differ from other types of sutures?

    -The technique for continuous sutures differs in that it does not start in the center of the wound but rather begins at one of the vertices, typically the proximal one, and proceeds to lateralize in halves to maintain equidistant points.

  • What is the recommended starting point for the suture?

    -The recommended starting point for the suture is at the vertex of the wound, specifically the proximal vertex.

  • How is tension managed during the suture process?

    -Tension is managed by gradually generating it as you progress with the suture, ensuring that the tissue edges are appropriately approximated without causing undue stress on the tissues.

  • What is the significance of the relationship between the points in a continuous suture?

    -The relationship between the points in a continuous suture is significant as it ensures that the stitches are equidistant from each other, maintaining a consistent and even closure of the wound.

  • How is the suture concluded?

    -The suture is concluded by entering and exiting the proximal edge, applying tension, and tying a surgical knot with a third throw before making a vertical cut to complete the suture.

  • What will be covered in the next class?

    -The next class will cover the technique for performing an anchored continuous suture (surf gt anclado).

  • Why is it important to maintain a good knot in the suture process?

    -Maintaining a good knot is important to ensure that the suture is secure and airtight, which is crucial for the proper healing and closure of the wound.

Outlines
00:00
馃┖ Introducci贸n al Punto de Sutura Continuo

En este primer p谩rrafo, se aborda la t茅cnica del punto de sutura continuo, un m茅todo quir煤rgico utilizado en el cierre de heridas. Se menciona que se iniciar谩 con un 'surf gt simple', distinguiendo dos tipos: simple y anclado, y se se帽ala que en una pr贸xima clase se revisar谩 el segundo tipo. La importancia de realizar sutura en planos profundos para heridas extensas se destaca, ya que proporciona cierres herm茅ticos y es m谩s r谩pido. Se preservan los fundamentos del punto simple para los puntos continuos, pero se introducen diferencias, como no iniciar en el centro de la herida sino en el v茅rtice y lateralizarse para mantener equidistancia entre los puntos. Se describe el proceso detallado de realizar el primer punto, incluyendo la distancia inicial del borde de la herida y el movimiento de la mu帽eca para traccionar la sutura. Adem谩s, se explica c贸mo se deben realizar las vueltas sobre el porta agujas y c贸mo se concluye el nudo quir煤rgico con una tercera sutura.

05:00
馃┖ Generaci贸n de Atenci贸n y T茅cnicas de Sutura en Punto Simple

Este segundo p谩rrafo se centra en c贸mo generar atenci贸n y t茅cnicas espec铆ficas para el punto de sutura simple. Se discute la importancia de generar tensi贸n durante el proceso de sutura para aproximar adecuadamente los bordes de la herida. El texto describe el procedimiento para anudar la sutura, colocando un nudo quir煤rgico y realizando cortes. Se enfatiza la importancia de mantener una relaci贸n equidistante entre los puntos de sutura y la t茅cnica para realizar un 'surf gt anclado', que ser谩 abordado en una clase futura. Adem谩s, se sugiere que la atenci贸n generada durante el procedimiento es esencial para minimizar da帽o a los tejidos y asegurar un resultado herm茅tico y bien cuidado.

Mindmap
Keywords
馃挕suture
Suture refers to the process of stitching or joining together the edges of a wound or incision. In the context of the video, it is the primary technique being taught, with a focus on continuous suturing to close a wound effectively and efficiently. The script mentions 'punto de sutura continuo', highlighting the importance of maintaining a consistent and uniform stitch pattern throughout the procedure.
馃挕technique
Technique in this context refers to the specific method or skill used to perform the suturing process. The video emphasizes the importance of mastering the technique for a simple continuous suture, known as 'surf gt simple', and contrasts it with the anchored suture, 'surf gt anclado', which will be covered in a future lesson. The proper technique ensures that the sutures are hermetic and efficiently close the wound.
馃挕wound
A wound is a damaged area of the body where the skin is broken or torn, often resulting from an injury or surgery. In the video, the focus is on how to suture a wound to promote healing and minimize scarring. The script refers to 'heridas' and 'la herida', which are Spanish terms for 'wounds' and 'the wound', respectively, and are central to the instructional content of the video.
馃挕continuous
In the context of the video, 'continuous' describes the type of suture being taught, which is a 'punto de sutura continuo'. This means that the suture is done in one uninterrupted line, as opposed to interrupted sutures where individual stitches are placed separately. The continuous suture is beneficial for its hermetic seal and speed of application.
馃挕tension
Tension in suturing refers to the amount of pull or force applied to the suture material to bring the edges of the wound together. Proper tension is crucial for effective wound closure, as too much can cause discomfort and poor healing, while too little may result in a gap or poor apposition of the wound edges. The video script mentions 'generando la atenci贸n', which translates to 'generating tension', indicating the importance of this aspect in the suturing process.
馃挕knot
A knot is a crucial part of the suturing process, as it secures the suture in place. In surgical procedures, knots must be both secure and easy to untangle if necessary. The video script refers to 'concluy贸 un nudo quir煤rgico', which means 'concluding a surgical knot', emphasizing the importance of correctly tying knots to maintain the integrity of the suture and ensure the wound remains closed.
馃挕depth
Depth in the context of suturing refers to the extent to which the needle penetrates the tissue. Proper depth is essential for creating a strong and stable suture without causing unnecessary trauma to the surrounding tissue. The video script mentions 'la relaci贸n de la distancia de cada uno de los puntos', which implies the importance of maintaining an appropriate depth to ensure uniformity and effectiveness in the suture line.
馃挕proximal
Proximal refers to the end of a body part or a structure that is closer to the central part of the body or the point of attachment. In the context of the video, it is used to describe the location of the suture points in relation to the wound. The script mentions 'el v茅rtice proximal', indicating the starting point for the suturing process and the importance of lateralizing from there.
馃挕distal
Distal is the opposite of proximal and refers to the end of a body part or structure that is farther from the central part of the body or the point of attachment. In the video, 'distal' is used to describe the opposite end of the wound from where the suturing begins. The script mentions 'el borde distal', highlighting the importance of reaching and securing this end of the wound during the suturing process.
馃挕hermetic
Hermetic refers to something that is completely sealed or airtight. In the context of suturing, a hermetic closure means that the suture is done in such a way that it prevents the entry of bacteria or other contaminants, which is essential for proper wound healing. The script mentions 'cierre por planos son hermeticos', emphasizing the importance of creating a secure and sterile environment for the wound to heal.
馃挕lateralizing
Lateralizing is the act of moving or shifting towards the sides. In the context of the video, it refers to the technique of moving from the starting point at the vertex of the wound ('v茅rtice proximal') and working laterally along the length of the wound. This approach helps maintain a consistent and equidistant pattern of sutures, which is crucial for effective wound closure.
Highlights

The class teaches how to perform a continuous suture technique.

A simple suture (surf gt) and an anchored suture are the two types of sutures discussed.

Simple sutures are often performed on deep planes for extensive wounds, offering hermetic closure and efficiency.

Continuous sutures maintain the fundamentals of simple sutures but start from the wound's vertex and progress laterally.

It is recommended to start at the proximal vertex for better wound edge approximation.

The suture technique involves making a simple knot and continuing the suturing process without cutting the thread.

A tension-free suture is essential to ensure smooth approximation of wound edges.

The suture process involves lateralizing in halves to maintain equidistant points.

The suture technique can be performed in two movements or one single fluid motion.

Proper tension is crucial for the edges to come together adequately during the surgical procedure.

The importance of generating attention as you progress through the suture is emphasized for gentle handling of tissues.

The suture should be hermetic, and attention to the distance between each stitch is vital.

The next class will review the technique for performing an anchored suture.

The suture technique involves making two loops over the needle holder and securing the thread between the two suture strands.

The suture is concluded with a surgical knot and a third throw.

The process of entering the proximal edge and exiting at the distal edge without cutting the thread is described.

The technique emphasizes the importance of a well-squared knot at both the initial and distal parts of the suture.

Transcripts

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SurgicalSuturingMedicalEducationWoundCareSimpleSutureAnchoredSutureTissueProtectionDeepPlanesHermeticalClosureSurgicalKnotsHealthcareIndustry