We don't remove intradermal sutures. We use absorbable material and close the surface of the skin with dermal glue. This causes less irritation because the sutures don't catch on things. Of course, different wounds require different suture patterns.

Nice demonstration of technique. Aberdeen's knot at the end may be favored, the suture should be absorbable. However excellent technique for budding surgeons.

At it again with another classic stitch up

I wish I had this system when I started surgery. Purchased it at the end of my MS3 year, and I have to say it's great. I will say this, though: the running sub-Q suture is more difficult to perform correctly on this model than it is in real life...If you can do it right here, you're golden in the OR.

I'd love to see a MS do this in front of my attending!

@OsakaUE The advantages are not having to schedule a post-op or follow up visit for suture removal, no scarring from suture holes and not having to worry about non-compliant patients. These sutures are absorbed by the body through controlled breakdown occurring at a predictable rate.

Beautiful Teaching.Unbeavle

Interesting pad!

GREAT VIDEO

Extremely helpful

Terrific manual for the leyman. Thanks !

@johnallardyce4164

8 жыл бұрын

+Prepper * layman or layperson.

I like it I was only a C.M.A. so we were never taught a sub q suture but I really like it

Is this method more for cosmetic purposes and or deep tissue wounds, rather than shallow lacerations?

hmm... one thing I would comment on is that you should avoid gripping the needle by the tip, since it's so delicate and easy to blunt/snap off.

very good video continue ...

you are thinking of the epidermis, the very top layer. skin also includes the next layer, the dermis, which is thicker, and is where this suturing is taking place.

For a running subcuticular suture, you would use an absorbable suture like a Chromic or a Vicryl. Your body will just degrade and absorb it over time as the incision heals so there's no need to get it out. This closure technique is simply done for cosmetic reasons.

@Oxidized181 no need to take out the sutures b/c they absorb

Excelent video, but how you remove the suture?? Thanks!!

I’ve watched multiple ER pediatrician’s perform these procedures. I appreciate when they pay attention to details. I also noticed everyone had their specific techniques. I also appreciated when they would wet the sutures before the procedure for a smoother pass. I miss my days working in the ER. I loved my patients and my job. I miss working with my friends. I😊🫶🏾

The normal technique is a continuous subcuticular suture, using 3-0 / 4-0 prolene / nylon. The ends of the suture are left out in a knot on the surface of the skin. After the wound heals (approx. 10 days), one can carefully remove the suture material by pulling it out slowly using the needle holders.

Wow thanks!

isnt this intradermal I am confused

Cool channel!

wouldnt that depend on what you are suturing? thanks

Interesting. Thanks :)

How will you remove the nylon after healing?

whats the material called that you are using to suture?

Nice

how do you get it out after it heals? o.O do you get out?

what if i have a laceration and got my stotches off but it didnt really heal and my doctor just put a steri stripe

I'm sure Rudiger will be fine with this technique 💪🏿

@Oxidized181 that's what I was thinking.

watching so many surgical videos Incase I need them.

they might be using dissolvable stitches

maybe you have to use absorbable thread

Use an absorbable suture for subcuticular sutures.

Follow rules of sterlization

I don't know what any of this is but I feel like I learned something.

@glorielysf8291

8 жыл бұрын

+whitem0use same

O_o Looks too painful! [Fingers crossed] I hope I or all of us never attempt to have real surgery!

Excellent....Thank you

@tanyairenegranger9706

8 жыл бұрын

hkkvh rodd hd og jf jf og uformell ixxi iåygffvbcgn

Ok how you take that suture off after a week if the nods a buried deep?

@scienceunravelled3709

6 жыл бұрын

You use an absorbable suture for this kind of technique.

А где у нас такую кожу купить?

Make me music video by Britney spears brought me to this LOL Watching this makes me ooooh oooh oooh oooh.....

seeing how you grab the tip of the needle, even with the needle driver makes me cringe!

@Yupthereitism

3 жыл бұрын

Shut up

"YoUUuuu do nottTT touch needle!" --- grouchy Chinese guy.

Holy fuck OKAY GUYS WE GET IT don't touch the needle. how many times is the same comment going to be made

Hi, is he using nylon?? and if thats going under the skin it wont be absorbe by the body?? could some one explain this please...

@Ana66389

8 жыл бұрын

+olvin ortez they pull it out usually its self absorbing ones

@dunmill9632

5 жыл бұрын

This is what I wanna ask. Nylon is non absorbable suture. So I wonder how to remove the end of suture if you bury it in the subcutaneous. If it remains underneath skin, it would irritate and form the granulation I guess

The other reason you don't grip the needle with your fingers should be the risk of needle poke injury and body fluid precautions should you poke a hole in your glove and put yourself at risk for contracting HIV/HEP.

I just use qlue.

you use dissolvible sutures so you dont have to remove them

It's absorbable suture, monocryl is the best for this, ( I don´t like this type of suturing thought)

The needle should never be touched with the fingers! When the tip of the needle comes out through the skin, it should be grasped with the Adsons, not the needle driver, and immediately reloaded properly on the needle driver using instruments only. It's faster and a lot safer!

@isaacregi1901

Жыл бұрын

Not necessarily true.

@jetandarkumar5004

Жыл бұрын

0ł

@Wty-7373

Жыл бұрын

your hand is clean

the video was a bit confusing at times...also, there's gotta be a way to do this without grabbing the needle with your hands, though I"ve met an attending who tells me to use my fingers if I feel it's easier...

Avoid handling the needle with your fingers! Use instruments to handle the needle.

and how would you remove the suture?

You just pull it out... I got my stitch removed that way.

Who says you get a clean cut like that?

My 5 year wants to be a surgeon.so here we are watching this.🤔

@SimVivo

2 жыл бұрын

Fantastic! Love to see that interest from the little ones.

Don't touch the needle with your hands

Good info thx

What material is that?

@AhmedTarek-uz5nw

10 жыл бұрын

i think it is 4 0 silk as it is black , proline is blue and vicryl is violet

@francescomonaca4684

9 жыл бұрын

And what about the rubber sheet? Is it silicone or anything else?

@wafeeq11

9 жыл бұрын

ahmed tarek how to remove it?

@darkflamecosplay9508

8 жыл бұрын

It kind of looks like Nylon?

you leave it...it gets absorbed

why the Fuck am I watching this lol

How many stitches apply in c section can u olz tell me

@jamesmancusi6747

Жыл бұрын

Which layer?

Hey bop

باخلد

ياغزا

Be like water my friend (Bruce Lee)..

If you watch this video, have the patience to watch completely, otherwise totally misleading. Any way done by some novice rather than someone with real hands on experience...

Make a number 8

NEVER load the needle with your fingers - it's a great way to get stuck!

Tasuvar ansri

Wow dude comon, dont touch the needle. Thats like the first thing you learn.

@Scipio12345

8 жыл бұрын

+SnorkFlirt i was teached to never touch it. If you know your way around with the tweezer (is that the word?) you are faster. And it looks so much better ;)

@myspringatgate2007

6 жыл бұрын

"Since you're just learning surgery... Do as I say, not as I do... Don't touch the needle even though everyone you'll ever work with does..." - All of my attendings thus far (ortho, cardiothoracic, plastics, gen surg, trauma, neurosurg).

It is not good... You should not ever touch the needle. We v'done that with a corps skin, and never forget the rule).

Я НЕ ХИРУРГ НО ЗНАЮ НЕЛЬЗЯ КАСАТЬСЯ ИГЛЫ РУКАМИ.ТОЛЬКО ПИНЦЕТОМ

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