Surgical Knot Tying: One-handed, Righty

[@SonnySaggar01]

I just wanted to say thank you for this video. I have been an emergency physician for 27 years and I have had no reason to worry about my knot tying, but I’m always impressed when a vascular surgeon comes down to the ER and ties these one-handed knots, as if They’re No big deal. So I’m just practicing 10 or 20 of these knots every day so that I can look one hundredth as impressive. Thank you for posting the video.

[@aluminiumknight4038]

As a new graduate who plans to become an emergency physician I'm a few decades ahead of you 😜

[@kailitseng8434]

@@aluminiumknight4038 I dont think we ought to be measuring in terms of being ahead or not…its never too late to learn! Im a sophomore in high school learning this stuff, but I dont feel ahead of anyone at all

[@gamediaries1429]

@@kailitseng8434it’s just friendly banter between 2 gens of physicians lol.

[@dubblebubbletoilandtrouble6646]

Amazing video, thank you! To remember which way to pull the string with the right hand after tying the knot: Karate chop: drives people away (pull right hand away) Claw hand: pulls victims towards you (pull right hand towards you)

[@DrRussell]

The best knot-tying video on KZbin! Period! Thank you for refreshing this long-forgotten skill in my dumb brain. Chop and claw makes it easier to remember, your students are lucky to have you

[@diyamanjhu8898]

I am not a med student yet. just a year away from entering medical college and i am so proud i learnt the one-handed surgical knot in 15 minutes of practice by this video!! Thank you!

[@daryl_sgn5322]

out of all surgical knot technique tutorial , this one is the easiest to catch on , thanks Dr.

[@bradlyc5142]

you are the only one who was able to explain this in terms that i understood after 2 years of failing miserably.

[@krishnasindhurigorantla9507]

Bradly C iplpp

[@nadiatavakkoli1556]

Agreed

[@alppoz5451]

agree

[@CVTCHIRAGVTHAKKAR]

Whenever I fail at this knot in the OR, I come back here and watch this video over and over again with the sutures in my hands, imitating what's shown here.

[@CVTCHIRAGVTHAKKAR]

Kudos Doctor. You've won the hearts of many surgeons by specifically demonstrating this knot technique slowly, delicately and perfectly. Greetings! ❤️

[@tubilatingtubilation]

knot tying for midwives is what led me here ( midwifery student) and I have to say, that one made more sense to me! this is a close second. Thanks for the vid!

[@ChickentNug]

I'm not even kidding ive been trying to get the one-handed technique down for an hour now. First try with this video I could. I think it helps that the wound is placed vertically along the camera instead of sideways. Thank you

[@walaashaheen64]

the one who finally taught me how to tie a surgical knot 💜

[@pricklypear47]

Best one hand surgical knot demo I've seen by far. Thanks so much!

[@tomjones6296]

pricklypear47 i

[@batoolalbeaik3287]

التسامي

[@tjjeromekamu4805]

Absolutely :)

[@karthikajith2831]

Agreed

[@arwaissa4843]

@@batoolalbeaik3287 علا

[@imlying9654]

This is the best handmade bracelet i've ever seen

[@drtenma047]

Thank you doctor, your tutorial was the easiest to follow and I’m now able to do it somewhat quickly after several tries

[@PeeedaPan]

finally, someone who explained this clearly

[@Diogenesceramicjar]

Derrick Wade I know right Dwayne Rose?!?!

[@desole1763]

I am only 17 years old but my dream is to become a surgeon, so I started my dream by learning surgical knot, and I nailed it !!! thank you so much

[@rxmcgree]

Thanks for this. Never bothered to learn hand ties at Med school because I knew I wasn’t going to be a surgeon but now I’m putting in a lot of lines and causing the icu nurses to roll their eyes as I very slowly suture 4 anchors in place! This will be a great help.

[@ankurdas5757]

Thank you so much! Best explanation I’ve seen so far.

[@clairechocolate12]

Doctors telling me in the OR, in courses, other people showing in videos - it worked, but somehow I couldn‘t remember the next time. Watched your video: I can do it in my sleep. Thank you!!!

[@stacylynn12]

Your video made learning this so much easier then other videos! Thank you!

[@gildylocks513]

Dr. Omedary.... dromedary. Love it. Also, thanks for the refresher. I didn't embarrass myself tying my IJs in front of the surgeons.

[@manfrevan6707]

Falta de respeto

[@mllegoug8535]

finally i've found a good video about surgical knots, thank you so much 😍

[@emiliakruk1969]

Thank you soooooo much for this one. I wasn’t able to get this for sooo long. I’m gonna be the coolest kid at the classes next week. Greetings from Poland! ❤️❤️❤️

[@nabihahzainul]

Thank you Dr Omedary. This really help me alot. May Alll Mightly bless you

[@armandedalati6373]

My go-to video series thanks Dr. O!

[@jm-rs3sz]

Finally did it after 6 months of trying without luck! Thanks alot

[@gildenty]

I just understood now, I only took 2 min, you're an excellent teacher.

[@lovapumpkina8961]

I went through more than one video on one hand tying and finally found one I like!

[@NadhiraAninditaRalena]

thank you so much you're the best explanator of all other hundreds of videos on KZbin

[@ktammous]

You explained it and made it looks like nothing, Thanks Man 👍

[@gulnazkhan0]

Thank you so much. Finally i learned surgical knot because of you. May Almighty bless you.

[@serellamadole]

Thank you for this video! It’s so simple to understand!!!

[@gitanjalibanik4542]

Thank you for teaching it in such a simple way and making us work better...thank you.

[@witchabr3937]

Have a few months till medical school starts, our curriculum starts teaching us to suture the first week so I am getting ahead of the game with your videos!

[@shivanaramsingh6940]

Haha, I liked the fun fact part! Thanks for the video!!

[@Zee-dr6zy]

At long last I finally get it, thank you so much for this epic tutorial!

[@tangofoxtrot40]

Thanks so much for this. Now in my head i go “karate chop goin up, gun (claw) goin down”

[@u_goal_3x]

Looking forward to doing this on my night shift tonight. Thank you

[@BFord2323]

This is a very good video. The fact you focus on square knots is so important. I would suggest tying a slip knot 1st (2 karate chops) followed by 2 squares. Most surgeons I know prefer this way to control tension. Thoughts?

[@عماراحسان-ط2ش]

I have got (full mark)100% on the osce exam of the general surgery subject, thank you so much ❤❤

[@sidra2313]

Plz upload videos of all knots.only video from which I learned this knot

[@suzanrasha5283]

Best video I have ever seen 👍🏻

[@melvinsacromentoe]

This is the best video explaining this

[@jubaeradil448]

Great way to teach easy. Thanks doctor.

[@pradeepaartemis]

Simple and succinct! Great video, thanks😊

[@erickportugal7351]

I hadn't been able to make this knot... Til now, thanks a lot Dr Omedary.

[@ramonabaker7470]

Wonderful video, taught me how. Thank you Dr. Omedary!

[@vasundharan3151]

Have lost the count of how many times I watched this....😊

[@evanlaw3596]

for the single hand knot, using the right thumb to help makes it much easier, especially for thinner lines.

[@caseymaples19xx]

Great instructions I'm a FA in general surgery and I've always struggled with one hand. The surgeon i work for now likes for me to close fascia interrupted and for good approximation i needed some instruction one single hand this was a great tutorial. I can't say enough about it i will share with the MS 3's that come through as i wind up teaching them.

[@dharshinid391]

Best video ever❤

[@millieaikman7306]

Hi thank you so much i found this very helpful, also when would you use this tyoe of knot?

[@millieaikman7306]

**type

[@relited]

thanks! great video, really liked the karate chop and claw explanation lol

[@neila2475]

Who on earth would dislike this video??

[@AQUILESPEDRO20]

Excelente, muchas gracias. Lima - Perú 👍

[@craigdylan3953]

Sweet fingering of the material. Makes the fly tiers jealous, though I do use a single hand whip finish, which is easy... Great job really. Love this one handed technique !!

[@lolacullen121212]

why did i just come across this video now ! seriously thank you ! well explained

[@gx3h451]

Can i use only the right hand for all ties? Or i am obliged to change the hand in some ocasions? Should I learn the left hand or im gonna be good with the right hand

[@veror9517]

Quick Q: With the instrument tie, you usually do a double throw the first time to get a surgeon's knot. With a hand tie, aren't we just doing a single throw? How does that become a surgeon's knot then? TIA!

[@Faulerify]

This method (first in video) called "by Dzhanalidze" he was a great surguion. Great technic and the most faster. Hi from russian surgeons 👍

[@GuitarDoco]

thank you Dr do we need to cross hands after tying the karate chop knot? else won't it become a granny knot?

[@kippnyccpbiology]

Incredibly helpful! Thank you for sharing this video!!!

[@BelyseIninahazwe-eh4lb]

Thank you so much for this video Dr

[@shahadshosho3695]

That's very helpful 🤍 Thank you

[@anubrat9150]

You Sir ! Are an exceptional teacher :)

[@patricialabella9136]

Anubrat Kumar 😎😑😑

[@markcollins8326]

thank goodness these days are long gone and now is sub standard - LigaSure vessel sealing - i have not tied a knot in 12 years

[@Charity-j9h]

Thank you for this very helpful video!

[@nadiatavakkoli1556]

Amazing and easy to learn. Appreciate it.

[@keithclark1427]

Dr O thanks for the lesson! I've looked at a few others but somehow your mad it l lot easier.

[@skunkpireas6364]

How many square knots you need to do when suturing a person?

[@ambidexmed]

Under what situations would you use this knot technique with one hand? Don't you have a needle driver you can use?

[@abdirahmanabdilahi3502]

Thank you Doctor you really explain an understandable way

[@drfatimashahani7461]

Thanks Easy way of explaining great work 👍👍

[@carloslancheros5102]

Can you show the Miller's knot one handed?Thanks for showing your techniques!!!

[@aishashaikh6992]

U r using rt hand for both turns. Is it the rt hand whichbis holding short end?

[@radhalote3827]

What if you do only the first one? The karate chop one? And do it repeatedly?

[@StingRayPartsWashers]

you won't make a square knot but instead a series of half hitch knots. A square knot is much stronger and less likely to pull out especially with slick monofilament line. Square knots are used in sewing, fishing, boating, at the rodeo and anywhere lines are used to tie up stuff. A double slipped version is the way shoes laces are commonly tied unless your mother like mine taught me wrong and tied two half hitches. It took me 40 years to figure out I wasn't tying my shoes laces with a square knot and that caused them to slip loose much more often. It appears when a surgeon ties a square knot, they call it a surgical knot.

[@radhalote3827]

@@StingRayPartsWashers oh! Thanks so much!

[@karinna3w]

This is a great demo. Thank you very much!

[@nursyafiqahazarudin1811]

This video really helps.. Thank you

[@paigefalgout5511]

Thanks so much! Finally clicks!

[@MozyofArmies]

How do you hold the tension when doing the "claw"? Seems to come undone

[@AhmedK891]

Thank you so much Excellent demonstration

[@ΑναστάσηςΡουμελιώτης]

Loved the video

[@katylynndizdarevic-miller539]

Wow, thank you so much for these videos!

[@sanket_more18]

Great explaination 🔥🔥🔥

[@bhansolo]

sweet patient drape, bromedary

[@SHODUNKEABODUNRIN-li8oh]

How about demonstrating this one hand tie (lefty) using the left hand for the karate chop/claw, also with the needle holder in your hand as a right handed surgeon.. The real OR situation.

[@dr.omedary8170]

It should be evident in this video that it not a real OR. Maybe the blue gym shorts simulating a patient drape weren’t enough to demonstrate that. How about you watch my other videos for lefties?

[@shiwangigupta9320]

This is awesome, thanks☺

[@ashleyyono4498]

You made this very clear! and fun, thank you

[@구름이-m3k]

I'm korean very thank you!!!😊😊

[@alexlau2879]

thank you so much , you are live-saver

[@watsonmil]

I was a professional blaster ( explosives ) for over 40 years, … I've tied thousands of square knots and taught the Government of Manitoba Accredited Blasters Course in Manitoba and Ontario, CANADA and one thing that I demanded students to do while writing their FINAL examination was to put down their pencils, … close their eyes and tie me a square knot. It mattered what they got on their written exam, BUT … if they failed to correctly tie the knot, …. they FAILED the course. Sounds harsh, … but life and/or property damage loss sooner or later will occur without the ability to tie a square knot ! I did not require a one handed tie however … EXCELLENT VIDEO !

[@JaiParkash-gu4ec]

Nicely explained thanks

[@giantcomet4]

great video anyone know where I can get the different coloured string to practise

[@AdrienneFNash]

buy some Rit dye from the grocery store

[@vicksingh5161]

when you you pull the strings on a real suture, how do you know which direction to pull in

[@Antimony-ing]

Straight side to side

[@natalienunez6342]

Thank you for such a great video!

[@Ani.DR.07]

@Dr. Omedary is that a square knot?

[@NahtkursTV]

if i may answer that: the first to knots combined are called a square knot. this is at aprox 2 min given.

[@gerardoborunda4673]

@@NahtkursTV they are not a square knot

[@jakobschneider2684]

hey, greetings from germany and thank you for this great video. In which subject Area do you work?

[@jeevanpandey4057]

RIGHT HOUNRABLE SIR EXCELLENT

[@shanalkhullar7610]

Very well explain... best

[@wholeNwon]

I realize that I'm a little slow sometimes, but I have the following problem in trying to understand what you are actually doing: Assuming that you are right handed, the needle holder and needle would be in that hand. You would pass the needle partially through the tissues to be opposed, grasp the needle on the other side and slide it through and out. The needle holder and needle would then again be in your right hand. So, how are you using both hands (esp. your right) in making the knots? Are you putting the instrument and needle down somewhere, removing the needle holder and tying with a flopping needle on end? Isn't the utility of the "one handed" knotting technique not having to put down the instrument and needle to tie the knots?

[@mellowmike9692]

If you're going to make a ton of money giving people surgeries they don't need, you better learn to tie those knots right.

[@wholeNwon]

@@mellowmike9692 Are you aware the every hospital has a surgical review committee that samples the records of operated patients? Every hospital has a morbidity and mortality committee as well. The purpose is to find unnecessary operations, operations that were incorrectly performed, patterns of complications, etc. Unfortunately some surgeons use free-standing facilities outside of major hospitals and there problems can go undiscovered. Anyone who is having a significant operation performed should only have it done in a major hospital where all staff physicians and surgeons are VERY carefully vetted and where their results are analyzed to protect the patients. Most people have no idea of what actually goes on behind the scenes in high quality hospitals. As to money, well I know a lot of dentists who earn more than good general surgeons with a fraction of the years of training, responsibility and liability. They have much better life styles as well.

[@akaniichan]

The needle is in the left hand for me. Needle holder with right hand, pass through, now the need is in the left hand. You can palm the needle holder a bit with your right hand as it wont disturb your fingers.

[@iamachrafsbai]

Great explanation ! thank u