SIM SUTURE - 7. Running Subcuticular Suture

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Sim*Vivo

Sim*Vivo

Күн бұрын

Advanced Suture techniques are explained in this lesson.
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The Sim*Suture Module will help the learner practice skills of simple interrupted and running suture, instrument tying, vertical mattress sutures, and running subcuticular sutures. As with all our modules, practice outside the simulation lab is encouraged with the availability of all necessary supplies: suture pad (with printed lines to guide placement of sutures), surgical instruments, and suture material. The exercise book provides the opportunity for the learner to practice in any convenient locale. Enough suture material is provided to place over 250 single needle passes. The time required for this module is about 4-6 hours. Curriculum offers opportunity for formal objective skills assessment (OSATS) when the module is completed.

Пікірлер: 101
@TheChouse27
@TheChouse27 11 жыл бұрын
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.
@maarakailet1
@maarakailet1 12 жыл бұрын
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.
@drrktiwari
@drrktiwari 10 жыл бұрын
Nice demonstration of technique. Aberdeen's knot at the end may be favored, the suture should be absorbable. However excellent technique for budding surgeons.
@inefficientworker6444
@inefficientworker6444 9 жыл бұрын
I'd love to see a MS do this in front of my attending!
@alteredgenes1
@alteredgenes1 11 жыл бұрын
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.
@Avlovian
@Avlovian 12 жыл бұрын
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.
@hellapinoy123
@hellapinoy123 12 жыл бұрын
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.
@dionnedunsmore9996
@dionnedunsmore9996 3 жыл бұрын
I like it I was only a C.M.A. so we were never taught a sub q suture but I really like it
@mightymadman
@mightymadman 2 жыл бұрын
I'm sure Rudiger will be fine with this technique 💪🏿
@bigkat08
@bigkat08 13 жыл бұрын
@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.
@craigclermond8001
@craigclermond8001 8 жыл бұрын
isnt this intradermal I am confused
@sharnicxx6327
@sharnicxx6327 7 жыл бұрын
At it again with another classic stitch up
@lupoed
@lupoed 3 жыл бұрын
How will you remove the nylon after healing?
@mdselimsha2697
@mdselimsha2697 6 жыл бұрын
Beautiful Teaching.Unbeavle
@TheSigp220
@TheSigp220 12 жыл бұрын
Is this method more for cosmetic purposes and or deep tissue wounds, rather than shallow lacerations?
@paprykazesloika
@paprykazesloika 9 жыл бұрын
Terrific manual for the leyman. Thanks !
@johnallardyce4164
@johnallardyce4164 8 жыл бұрын
+Prepper * layman or layperson.
@nicoleg3359
@nicoleg3359 11 жыл бұрын
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.
@d2hpdGVtMHVzZQ0K
@d2hpdGVtMHVzZQ0K 10 жыл бұрын
I don't know what any of this is but I feel like I learned something.
@glorielysf8291
@glorielysf8291 8 жыл бұрын
+whitem0use same
@suturethis576
@suturethis576 5 жыл бұрын
Interesting pad!
@lilvergo
@lilvergo 13 жыл бұрын
@Oxidized181 no need to take out the sutures b/c they absorb
@Sugastack
@Sugastack Жыл бұрын
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😊🫶🏾
@enaebner470
@enaebner470 8 жыл бұрын
seeing how you grab the tip of the needle, even with the needle driver makes me cringe!
@Yupthereitism
@Yupthereitism 4 жыл бұрын
Shut up
@mamicholo
@mamicholo 12 жыл бұрын
wouldnt that depend on what you are suturing? thanks
@0o0o0radha0o0o0
@0o0o0radha0o0o0 13 жыл бұрын
whats the material called that you are using to suture?
@greenilizer
@greenilizer 13 жыл бұрын
what if i have a laceration and got my stotches off but it didnt really heal and my doctor just put a steri stripe
@artemsavchuk7467
@artemsavchuk7467 7 жыл бұрын
Ok how you take that suture off after a week if the nods a buried deep?
@scienceunravelled3709
@scienceunravelled3709 7 жыл бұрын
You use an absorbable suture for this kind of technique.
@42302917
@42302917 13 жыл бұрын
Excelent video, but how you remove the suture?? Thanks!!
@JennLonhon
@JennLonhon 12 жыл бұрын
how do you get it out after it heals? o.O do you get out?
@grplast84
@grplast84 10 жыл бұрын
GREAT VIDEO
@wiglett1
@wiglett1 10 жыл бұрын
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
@isaacregi1901 Жыл бұрын
Not necessarily true.
@jetandarkumar5004
@jetandarkumar5004 Жыл бұрын
@Wty-7373
@Wty-7373 Жыл бұрын
your hand is clean
@DEEPJYOTICHAUDHURI
@DEEPJYOTICHAUDHURI 2 жыл бұрын
Extremely helpful
@catpaws1913
@catpaws1913 7 жыл бұрын
watching so many surgical videos Incase I need them.
@saurabhsinha4782
@saurabhsinha4782 4 жыл бұрын
Nice
@jdsun
@jdsun 8 жыл бұрын
"YoUUuuu do nottTT touch needle!" --- grouchy Chinese guy.
@OlvinEmanuelOrtez
@OlvinEmanuelOrtez 9 жыл бұрын
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
@Ana66389 9 жыл бұрын
+olvin ortez they pull it out usually its self absorbing ones
@dunmill9632
@dunmill9632 6 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
@edieuro95
@edieuro95 12 жыл бұрын
they might be using dissolvable stitches
@TheTAREKMAHMED
@TheTAREKMAHMED 11 жыл бұрын
very good video continue ...
@wallabysydney7672
@wallabysydney7672 7 жыл бұрын
Holy fuck OKAY GUYS WE GET IT don't touch the needle. how many times is the same comment going to be made
@dunlopempire
@dunlopempire 11 жыл бұрын
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.
@bessiemwale4724
@bessiemwale4724 3 жыл бұрын
My 5 year wants to be a surgeon.so here we are watching this.🤔
@SimVivo
@SimVivo 3 жыл бұрын
Fantastic! Love to see that interest from the little ones.
@chirpchirpy123
@chirpchirpy123 12 жыл бұрын
O_o Looks too painful! [Fingers crossed] I hope I or all of us never attempt to have real surgery!
@adityapatil2995
@adityapatil2995 6 жыл бұрын
Follow rules of sterlization
@markfaber6892
@markfaber6892 8 жыл бұрын
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...
@Astharot90
@Astharot90 12 жыл бұрын
maybe you have to use absorbable thread
@sabplana
@sabplana 12 жыл бұрын
Use an absorbable suture for subcuticular sutures.
@francescomonaca4684
@francescomonaca4684 10 жыл бұрын
What material is that?
@AhmedTarek-uz5nw
@AhmedTarek-uz5nw 10 жыл бұрын
i think it is 4 0 silk as it is black , proline is blue and vicryl is violet
@francescomonaca4684
@francescomonaca4684 10 жыл бұрын
And what about the rubber sheet? Is it silicone or anything else?
@wafeeq11
@wafeeq11 9 жыл бұрын
ahmed tarek how to remove it?
@darkflamecosplay9508
@darkflamecosplay9508 8 жыл бұрын
It kind of looks like Nylon?
@angieest10
@angieest10 9 жыл бұрын
Wow thanks!
@Scipio12345
@Scipio12345 9 жыл бұрын
Wow dude comon, dont touch the needle. Thats like the first thing you learn.
@Scipio12345
@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
@myspringatgate2007 7 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).
@TheiNeko
@TheiNeko 9 жыл бұрын
А где у нас такую кожу купить?
@akedo789
@akedo789 8 жыл бұрын
Make me music video by Britney spears brought me to this LOL Watching this makes me ooooh oooh oooh oooh.....
@ahmedsaleh1986
@ahmedsaleh1986 13 жыл бұрын
you use dissolvible sutures so you dont have to remove them
@GuitarDoco
@GuitarDoco 9 жыл бұрын
Excellent....Thank you
@tanyairenegranger9706
@tanyairenegranger9706 8 жыл бұрын
hkkvh rodd hd og jf jf og uformell ixxi iåygffvbcgn
@jjtt6866
@jjtt6866 4 жыл бұрын
I just use qlue.
@JennLonhon
@JennLonhon 11 жыл бұрын
Interesting. Thanks :)
@drbaburaj
@drbaburaj 12 жыл бұрын
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...
@crystaltrasolinepac
@crystaltrasolinepac 11 жыл бұрын
Avoid handling the needle with your fingers! Use instruments to handle the needle.
@PapaSumoto
@PapaSumoto 8 жыл бұрын
Don't touch the needle with your hands
@skunkycatog
@skunkycatog 8 жыл бұрын
why the Fuck am I watching this lol
@Djhotrhymez
@Djhotrhymez 13 жыл бұрын
@Oxidized181 that's what I was thinking.
@al3xi5lave
@al3xi5lave 11 жыл бұрын
It's absorbable suture, monocryl is the best for this, ( I don´t like this type of suturing thought)
@johnm.3374
@johnm.3374 11 жыл бұрын
Who says you get a clean cut like that?
@jamesmancusi6747
@jamesmancusi6747 Жыл бұрын
NEVER load the needle with your fingers - it's a great way to get stuck!
@Metencefalon
@Metencefalon 9 жыл бұрын
It is not good... You should not ever touch the needle. We v'done that with a corps skin, and never forget the rule).
@MrWachowsky
@MrWachowsky 11 жыл бұрын
You just pull it out... I got my stitch removed that way.
@egytiger881
@egytiger881 12 жыл бұрын
you leave it...it gets absorbed
@JUrb1000
@JUrb1000 7 жыл бұрын
and how would you remove the suture?
@zeeshanalikhan9004
@zeeshanalikhan9004 3 жыл бұрын
How many stitches apply in c section can u olz tell me
@jamesmancusi6747
@jamesmancusi6747 Жыл бұрын
Which layer?
@11ccom
@11ccom 2 жыл бұрын
Be like water my friend (Bruce Lee)..
@ЮлияТрубачева-к8щ
@ЮлияТрубачева-к8щ 4 жыл бұрын
Я НЕ ХИРУРГ НО ЗНАЮ НЕЛЬЗЯ КАСАТЬСЯ ИГЛЫ РУКАМИ.ТОЛЬКО ПИНЦЕТОМ
@HaseebMughal0007
@HaseebMughal0007 Жыл бұрын
Hey bop
@dimawidadi1018
@dimawidadi1018 10 жыл бұрын
ياغزا
@dimawidadi1018
@dimawidadi1018 10 жыл бұрын
سريفي
@dimawidadi1018
@dimawidadi1018 10 жыл бұрын
باخلد
@TasuvarAnsari-us1tl
@TasuvarAnsari-us1tl 10 ай бұрын
Tasuvar ansri
@TheDannylau
@TheDannylau 12 жыл бұрын
4 min
@llukelara
@llukelara 8 жыл бұрын
Make a number 8
@dimawidadi1018
@dimawidadi1018 10 жыл бұрын
يتعلد
@omyadav6017
@omyadav6017 2 жыл бұрын
Good info thx
@dimawidadi1018
@dimawidadi1018 10 жыл бұрын
سريفي
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