@@imixmuan9081 so true ! But you know when you’re doing a Subcuticular and you accidentally cut your suture …. The heart 💔 😂

@@MedSyncVT That definitely happens. The other day I was closing a long abdominal incision with a simple continuous and I freaking cut the suture right at the end with my scissors. Option A) take out the whole line and start over. Option B) Do a simple interrupted, leave the tail long and tie the first line to the new one with like six throws. I chose option B.

@imixmuan9081 hahahah it's funny because I can see those same options running through my head when it's happened to me too! Using an Olsen Hegar is another way to take the next step in suturing - it's quick for cutting but you know that at any given time if you mis-mount that needle..you're suture is a gonner. Good way to check your focus and precision some may say

It's a needle holder for microsurgery I guess if you dont have a micro needle holder you can use thr more commonly found Castro needle holder

🥰

I mean sometimes yiu want to cut your own suture for example in a tendon repair or if the nurses are doing their counts or indeed if your in the Emergency Department closing a wound and have no assistant

It's natural Especially if you drink caffeine But as long as you know how to work around it and increase your precision when needed then it's fine

@@MedSyncVT 100% agree with u

@@MedSyncVT but my hands become more shaky when my attending yells 😅

@soulneil1696 oh dear ! There is an element of having to perform too that can add a tremor...the yelling isn't ideal 😑

😁

www.medsyncltd.com/product-page/wound-in-plastic-surgery-self-directed-training

It's an excellent repair, 4 stranded a good balance of strength without stopping glide of the tendon. Unfortunately rupture is always a risk no matter the technique used - but the rehabilitation process is equally as important as the surgical procedure. All the best

A pleasure!

🤣 especially if an anesthetist is watching

Sounds a great idea. Thanks we will get on this after completing the upper limb

Thank you

They already miss you !

Glad it's useful !

Thanks Yes..get in touch please [email protected]

sure, sent you a mail! pls check your inbox@@MedSyncVT

What do you mean ?

Lily! ❤️

Hope you get to use them !

I will practice it in the emergency ward when on call.

Very happy to share with you! Hope you get to put them to use

Yes. I practice it at home. I will implement it at hospital.

Will you be doing any local flap techniques?

What a good idea! Yes we can do

Thank you! So much more to come

Thank you! Glad it's useful

For a simple skin biopsy it is not required. However you can diagnose some skin cancers clinically and perform a therapeutic excision in the first instance (BCC and SCC) In cases where you do not close the wound, you place a skin graft or perform a local flap you need to place a marker suture on the specimen. If the specimen comes back as incompletely excised the report will tell you where it is incompletely excised in reference to that marker suture.

Opph so close. By design yes But its called a cruciate tendon repair ! Check out the linked video to see how it's done

Okay but that just looks like connecting any two tubular structures...

@MrChristoferoful I mean, you are spot on! Thats the essence of most Surgery.. cut disease out and ideally reconnect it to restore normal form or it comes to you divided and you repair it. The key with flexor tendon repairs is tensile strength . This is 4 stranded tendon repair (the suture crosses the repair site 4 times) which makes it stronger than a 2 stranded or say interrupted stitches around it.

@MedSyncVT Aaah I see! Thank you for the explanation!