Simple Continuous Suture Pattern
TLDRThe video script offers a detailed tutorial on the simple continuous suture pattern, a fundamental technique in suturing. It emphasizes the importance of gathering suture for control and the use of a surgeon's knot with polyglactin 910 due to its low friction. The script also discusses the role of a surgical assistant in maintaining tension and provides two methods for ending the suture pattern, either by tying to the last loop or performing a backhand suture bite for a smoother closure. This comprehensive guide is essential for those learning suturing skills.
Takeaways
- 🧵 The simple continuous suture pattern is a fundamental technique used frequently in practice.
- 🌀 It is often employed alongside the simple interrupted pattern for various procedures.
- 📌 To initiate a simple continuous pattern, start with a full-thickness bite using a simple interrupted suture.
- 🪡 The process involves tucking away the needle and using suture-gathering techniques for orderly control.
- 📈 Polyglactin 910 has low friction, so a surgeon's knot followed by two additional throws can maintain the desired tension.
- 👩⚕️ Having a surgical assistant is beneficial for maintaining equal tension, especially when closing an incision with tension.
- 📐 The suture bites should be taken approximately five millimeters back from the incision edge, ensuring uniformity.
- 🔄 While performing the simple interrupted technique, the needle should be trapped, not grasped, using thumb forceps.
- 🔗 Two methods exist for ending the suture pattern: tying to the last loop or performing a backhand suture bite and then tying.
- 💫 A backhand suture bite provides a neater closure, preventing the skin from crinkling up compared to tying back to the last loop.
- 📚 Both termination methods are acceptable for practical use and for the course curriculum.
Q & A
What are the two most common suture patterns mentioned in the transcript?
-The two most common suture patterns mentioned are the simple continuous pattern and the simple interrupted pattern.
How does one begin a simple continuous suture pattern?
-To begin a simple continuous pattern, you first perform a simple interrupted suture full-thickness bite.
What is 'gathering suture' in the context of suturing?
-Gathering suture is a technique used to maintain control of the suture material in an orderly fashion during the suturing process.
Why is a surgeon's knot used in the transcript?
-A surgeon's knot is used because the suture material used, polyglactin 910, does not have a lot of friction, and the surgeon's knot helps to maintain the desired tension across the suture line.
How many throws does the surgeon add after the initial surgeon's knot?
-After the initial surgeon's knot, two additional throws are added to maintain the tension.
What role does a surgical assistant play in constructing a simple continuous suture pattern?
-A surgical assistant helps maintain equal tension when constructing a simple continuous suture pattern, which is especially useful when closing an incision with some tension.
How far from the incision edge should one take bites when performing a simple continuous suture?
-Bites should be taken approximately five millimeters back from the incision edge when performing a simple continuous suture.
How does one end the simple continuous suture pattern?
-The simple continuous suture pattern can be ended either by tying to the remaining last loop of suture or by performing a backhand suture bite and tying to this loop.
What is the advantage of ending the pattern with a backhand suture bite?
-Ending the pattern with a backhand suture bite provides a nicer closure and prevents the skin from crinkling up, as opposed to tying back to the last loop.
What is the importance of trapping the needle instead of grasping it during suturing?
-Trapping the needle with thumb forceps instead of grasping it helps to maintain control and prevents the needle from being dulled or damaged during the suturing process.
What are the two ways to end the simple continuous suture pattern, and which is considered more aesthetically pleasing?
-The two ways to end the pattern are by tying to the last loop of suture or by performing a backhand suture bite and tying to that. The backhand suture bite is considered more aesthetically pleasing as it does not crinkle the skin.
Outlines
🩹 Introduction to Simple Continuous Suture Pattern
The paragraph introduces the simple continuous suture pattern, one of the most commonly used suture techniques in practice. It is often utilized alongside the simple interrupted pattern. The process begins with a full-thickness bite using a simple interrupted suture. The importance of gathering suture is emphasized, which is a technique to maintain control and order during suturing. The use of polyglactin 910 is mentioned, which requires a surgeon's knot for tension maintenance. The paragraph also discusses the benefits of having a surgical assistant to maintain equal tension, especially when closing an incision with some tension. The technique of taking bites approximately five millimeters back from the incision edge and performing a similar bite on the far side is described. The paragraph concludes with two methods of ending the suture pattern: tying to the last loop of suture or performing a backhand suture bite for a neater closure.
Mindmap
Keywords
💡simple continuous suture pattern
💡simple interrupted pattern
💡full thickness bite
💡suture gathering
💡surgeon's knot
💡equal tension
💡surgical assistant
💡backhand suture bite
💡wound closure
💡practice
Highlights
The simple continuous suture pattern is one of the most common suture patterns used in practice.
Along with the simple continuous pattern, the simple interrupted pattern is also frequently used.
To begin a simple continuous pattern, you start by performing a simple interrupted suture full thickness bite.
When using a technique to gather suture, it helps to maintain control and orderliness in the suture process.
Polyglactin 910 has less friction, which allows for the use of a surgeon's knot to maintain tension in the suture line.
After placing a surgeon's knot, two additional throws are recommended for reinforcement.
Having a surgical assistant can be very helpful in maintaining equal tension when constructing a simple continuous pattern.
When practicing for this course, you may not have the luxury of a surgical assistant, but it's a good practice for real situations.
Taking bites approximately five millimeters back from the incision edge is a standard practice.
Performing the simple interrupted technique involves trapping the needle with thumb forceps rather than grasping it.
Resetting needle holders between bites is crucial for precise and controlled suturing.
Ending the pattern can be done either by tying to the last loop of suture or by performing a backhand suture bite and tying.
A backhand suture bite provides a nicer closure, avoiding skin crinkling that can occur when tying back to the last loop.
Both methods of ending the pattern are acceptable in practice and for the course.
Transcripts
5.0 / 5 (0 votes)
Thanks for rating: