Subcuticular Suture

[@MEDICINEinaNutshell]

Thanks to your question. The model I have used is something I have designed myself. Cheap and cheerful but works much better then the much more expensive models that one can buy. It’s made of Velband (orthopaedic one) as the core, with two layers of microfoam around it to simulate dermis, with a covering of Elastoplast to simulate epidermis. Try it. Works very well.

[@erickperez1302]

Great job! thanks for this!

[@GiorgioK16]

Thank you for the video. I notice some plastic surgeons remove the needle from the skin using the thumb forceps and then reload the needle with them. Do you need specially designed thumb forceps to handle the needle like this to pull it out of the skin to avoid damaging the forcep’s gentle tissue handling properties? Is this technique of removing the needle from the skin quickly with thumb forceps also more traumatic since you can’t rotate the wrist like you do when removing the needle with needle holders? Also, do you have a video of the other subcuticular techniques you mentioned where you do place knots in the skin? Thank you very much

[@yauheni7429]

Thanks for the video. Some questions plz: what kind of suture strip do you prefer? Have you encountered any problem with wound healing or maybe infection, because triple layer doesn't allow any airflow to the healing tissue? Do you change suture strip or just leave the original until whiskers are removed?

[@TheSssrrr]

Well explained...👍

[@MEDICINEinaNutshell]

Any suture strip is fine as long as it sticks well to the skin. Have never had a problem with infection because of suture strips as they come in a sterile package anyway.

[@robertbee9776]

I sew a lot and you have a nice way with a needle and thread, I like your work. Others not so much.

[@devil_in_the_cqmu]

I saw another Subcuticular suture video where they did Aberdeen knot at the end. Even I saw a first knot in the beginning then they went back to the apex of the wound. This one explained easily 😭😭🤧

[@quickmed3554]

i haven't this this technique in the literature

[@Dk13kk03]

Vraiment waaw 😍😍😍😍

[@MEDICINEinaNutshell]

I would routinely leave the dressings undisturbed (i.e.not change) for two weeks, unless there is any reason to do so (e.g. bleeding through or infection). At 2weeks I would trim the sutures and thats it. kzbin.info/www/bejne/bqaZhoSJececi7M

[@phillipcharlesouano1273]

How often do you do dressing on this type of wound? Also how many days will the patient follow up on your clinic? Im interested on the outcome, coz ive been doing this to patients also but we usually knot at the beggining and also the end part.. Pls send pics.. Thank you gs resident level iv.

[@osokprojoy1212]

What should one do when you notice a stitch was not removed after 7 months of your c section?

[@drgerardsaviogonsalves5802]

U have excellent hands.

[@elhoussinyaziza9873]

Bravo 👏 Mr

[@charoemia3732]

nice suture

[@Dk13kk03]

Absorbable or no please??

[@armandacosta1914]

what model are u using

[@MEDICINEinaNutshell]

It is a model that I invented, made of orthopaedic wool roll as the core (to simulate subcutaneous fat), surrounded by 2 layers of Microfoam tape (to simulate dermis), then longitudinal strips of Elastoplast (to simulate epidermis). It is cheap and easy to make form material available in most any hospital, and works well as a simulator for practising all the techniques of skin suturing. Thank you for watching the channel and subscribing.Best of Luck

[@tomicaa11]

Why are you reloading needle to backhand? Cant you do it on forehand, and also more naturally like that?

[@MEDICINEinaNutshell]

Excellent observation, and valid question.👏🏽 I personally find it easier to accurately, and atraumatically, place to stitch in the dermis further from me using the backhand technique I demonstrate. You may find it easier to do so with a standard forehand technique, and as long as the subcuticular stitch closes the incision/wound accurately and atraumatically, then this is what you should do. “Many ways to skin a cat”, so to speak😁🙏🏽

[@mohamedbelal5823]

how many days i shoud leave it if i used non absorbable !??

[@MEDICINEinaNutshell]

5-7 days on the face; 10-14 days on trunk or limbs

[@MEDICINEinaNutshell]

Chris: PLEASE DO NOT perform surgery on yourself; you can do yourself a lot of harm!

[@MEDICINEinaNutshell]

Merci. Je préfère la suture résorbable.

[@sujithes5108]

How to remove internal non absorbable suture

[@MEDICINEinaNutshell]

You don’t; they are meant not to be removed.