SUTURE Tutorial: Subcuticular Continuous Suture with Aberdeen Knot - HD Demo!

Thanks for watching this suture tutorial focused on the subcuticular suturing technique with the Aberdeen Knot! Please consider subscribing, liking this video, and sharing with your friends!
This video was recorded with High-definition. Use the Settings "gear" in the bottom right hand corner of the video to change the quality to 1080p for the best video quality. Remember, this suturing technique is not great for lacerations or incision that are under tension. The skin edges should already be well approximated before you start this stitch.
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Other suturing videos of mine that you may enjoy:
Subcuticular Interrupted Suturing - • SUTURE Tutorial: Subcu...
Simple Interrupted Suturing - • SUTURE Tutorial: Simpl...
The Instrument Tie - • SUTURE Tutorial: The I...
Vertical Mattress Suturing - • SUTURE Tutorial: Verti...
Horizontal Mattress Suturing - • SUTURE Tutorial: Horiz...
Running Locking Suturing - • SUTURE Tutorial: Runni...
Deep Tissue Absorbables - • SUTURE Tutorial: Deep ...
Figure-of-8 Suturing - • SUTURE Tutorial: Figur...
Removing Sutures - • SUTURE Tutorial: How t...
Stapling a Laceration - • Closing a Laceration U...
Removing Skin Staples - • Surgical STAPLE REMOVA...
PLEASE NOTE: All of the content in this video and all other videos on this channel are solely the opinion of the creator and should NOT be used as medical advice or medical care. If you have a laceration or skin injury of any kind, you are advised to seek immediate medical attention in a hospital or medical clinic.

[@minimedlessons]

Thanks for watching! Don't forget to subscribe! www.youtube.com/@minimedlessons?sub_confirmation=1

[@vivianegoodman5933]

I'm a first assist student and I actually tried this today and was most proud of myself and I was teaching a resident now I can call this technique thanks!!

[@ArtemisDD]

I've been searching for a good explanation about the Everdeen knot for so long! Thanks you very much ^•^

[@jasonlundy6022]

Great video and technique! Thank you for this and the other videos you make!

[@sonyacorona3943]

The Aberdeen knot! Yes! thank you.

[@JanieO]

Great instructional video. Thank you!

[@drkushajagadeesh6347]

The Aberdeen knot is fantastic! I just learned something new today! 😍

[@popcorn200213]

I'm a vet tech and prospective vet student (Just waiting to hear back!) and one skill I love practicing is suturing and this video was SUPER informative! We use this suture a lot in vet med, for spays and other abdominal surgeries especially, and you by far give the best explanation and demonstration of all parts of it! And your pacing was perfect, I was able to suture along with you on my pad without having to pause or feel rushed.

[@minimedlessons]

So glad to hear this! Best wishes with your Vet school pursuits!

[@IncognitaLabs]

A very nice technique! Thanks for the demo...

[@bojanastankovic4211]

So helpful! Thanks!

[@psk8072]

finally found the perfect channel for suture

[@qwamerichee9888]

I love this style of suturing.thank you sir

[@dfristoe5524]

Very informative...Thank you!

[@lawrencepaz1000]

Great video! Very helpful

[@rishikesh9714]

burying the aberdeen knot was beautiful, thank u

[@ahmedeladawy9420]

Very helpful... This is called the magician suturing here

[@sidjndmt]

Simply beautiful Thank you

[@nokialover31]

Wonderful video!

[@DrDyz]

Best example of this suturing and knot out of the numerous I watched to finally understand it properly :) Thanks!

[@minimedlessons]

Wonderful! So glad my video was helpful! Feel free to share!

[@bepositive1295]

Amazing video.. Thank you so much for such great explanation..

[@trond3551]

Amazing video, thanks

[@kareenakapoor1320]

As a hopeful ob/gyn. Thank you for this informative video!

[@ryanmark]

Great video!

[@akashchandrapati.7104]

I am an Operation Theatre Technologist student and I am very glad to see the video of subcuticular Continuous suture. It is extremely helpful 🙂.

[@minimedlessons]

I’m glad to hear that! Thanks for following along!

[@ajar385]

Thank you for the knowledge

[@lesia6370]

Thank you. Every little detail is explained.

[@minimedlessons]

Thanks for following along!

[@boneyjoseph7]

Awesome explaination

[@75Akib]

Very helpful. Thank you for taking your time making this video

[@minimedlessons]

Thanks for watching and following along!

[@madhumitharavichandran4571]

Beautiful.

[@millie6060]

Good video. Thanks for sharing.

[@EsraaMohamed-oh5xp]

Wonderful I'm gonna try it next time ❤

[@Hanin243]

Great technique

[@bobbic4137]

Hi, it's now November, 2022. I justs had my right submandibular salivary gland excised about a week ago. I'm not in the medical profession at all but I have an interest. I noticed on the hospital Discharge Summary it says "Platysma interrupted vicryl and skin - subcutaneous continuous monocryl". I had no idea what this meant. I did a google search and your very well presented and professional video popped up. It was informative without going overboard on the medical jargon. Thanks for doing this video. I always want to know what happens when I'm unconscious, after all, it is my body! The person who stitched me up did a magnificent job! Nearly as good as yours. ;)

[@minimedlessons]

Glad you enjoyed my video and happy for you that it was well done with your procedure. Best wishes!

[@MsYears]

This is the best suture video I’ve ever watched!! Very informative and detailed

[@MohamedAmin-400]

Well explained 👏

[@cowstable]

Great explanation of the Halsted suture! If I may contribute: steri strips here are not added for wound strength, but rather to assure the equal height of apposed skin edges. I had to re-operate once after my assistant pulled one skin edge over the other when placing steri strips. Do not attach to one side, tension and then attach at the other side. There is no need for such pulling anyway as it is already closed, all you achieve is pulling a perfectly apposed edge over the other edge! Instead, lay down steri strips vertically, to both sides simultaneously.

[@minimedlessons]

Thanks for your comment and for following! I love your contribution about best steps for steri strip placement, and I agree. Perhaps that is another good idea for a new video. Again, I appreciate your comment and following!

[@dr.aditirana204]

I’m an intern doing my surgery rotation in India & this was very helpful, thanks 😊🙏

[@minimedlessons]

I'm so glad you found it helpful! Thanks for subscribing and following along!

[@shivanisinsinwar9972]

Which college??

[@25gollalokesh20]

@@shivanisinsinwar9972 medical college😂

[@karthikreddy8567]

@@25gollalokesh20 😅

[@dddbutter]

Thank you very much for this video.

[@minimedlessons]

dele ambeke thanks for watching and commenting! I hope you’re enjoying the channel!

[@kevi152]

If you wish to keep your sutures in the horizontal plane, then the best technique is to keep the needle holder perpendicular to the skin and use the reverse hand for the tissue opposite to yourself. This technique is also excellent for intracutaneous sutures. I learnt this from a Hungarian plastic surgeon more than 30yrs ago. Tilting the needle is but an approximation to the horizontal plane and hence not perfect.

[@samdr9981]

Plz record a video of that idea❤

[@joshuavazhappilly2746]

could you explain this a bit more?

[@metanetabbasova5679]

Thank you for helpful video

[@laraalmasri9622]

Thank you 💕 it hepled me alot

[@rewfarid8460]

very simple and useful

[@motazjalloun2651]

Thanx a lot man ❤️

[@gregherbert6089]

Great video! I actually use this as a veterinarian for routine surgeries where there is no need for a recheck.

[@claracerqueira5]

Thank you!

[@monzerabdelkriem4482]

Thank you it's verry helpful

[@ahmetozturk-zg1gn]

very good.thanks

[@newmanlord7130]

Significant Video, Doc, Hi from Ghana.

[@minimedlessons]

Hello to Ghana! Thanks for watching!

[@The_Professor_]

That Aberdeen knot appears to use what’s called a marlin spike hitch in a “daisy chain.” The marlin is an awesome knot for camping and every day stuff. The daisy chain is used to store line in a way that it can be quickly deployed. There’s a way to lock this chain which is how you closed the Aberdeen. There’s a knot that uses a similar principle called the Highwayman’s knot or Bank-Robbers Knot. The uses of each of these three is obviously different but it’s pretty interesting to compare them all. This was a really cool video, I first came to this channel watching videos on sutures. It’s great learning these skills. This channel is a great resource, thanks for the video!

[@minimedlessons]

Roman DeBono thanks for the awesome comment! I really appreciate it. I’m glad you’ve found my channel helpful. I’m working hard to create quality, free content for students and practitioners of medicine and nursing all over the world. I’m glad to know it’s helping someone. 😊 I use this Aberdeen-style knot in a lot of things, especially when camping (like you mentioned). I’m pretty sure I first learned this knot when my grandma was trying to teach 5-year-old me how to crochet! Pretty sure it’s the main idea in basic crocheting! 😂

[@The_Professor_]

Well that’s good to know, I’ve never learned about crocheting but I can see how knitting needles would help create a series of connecting links. I may try to use the Aberdeen in camping but I’m pretty proficient in knots (if you couldn’t tell haha). A taut line hitch (or even a double half hitch) would seem like something that’d work. But maybe this has a particular application that it shines in beyond just suturing. I imagine this would honestly work really similarly to a clinch knot or improved clinch knot for fishing. That I will 100% need to try because I think it would really work well.

[@renedugas2396]

well done

[@666toysoldier]

I retired as a scrub tech after 45 years in the OR. I first used this knot to hold cargo in my pickup, then started using it in surgery. Taught it to a lot of tech students and a few residents and interns. I trained students to load needles at the 2/3-1/3 point, and a little ahead of 90 degrees, like you show. When a needle is loaded too close to the suture, there's a chance the surgeon will "horse" the needle, trying to jam it through instead of following the curve of the needle, and bend or break it.

[@karthikreddy8567]

You should make a tutorial videos as well🎉

[@Radmxray]

Good tip on where to hold the needle. Thank you. I'm a Rad Tech in IR and occasionally get to suture if they let me. So I needed a refresher. Have you ever tried the suture like a surgeon kit? I just got mine. Excited!!

[@666toysoldier]

@@Radmxray Nope. I practiced on towels a little, then started on patients. Very early on, one of the surgeons taught me how to do a running vertical mattress suture.

[@breannalindemann3514]

satisfying closure! Thank you for sharing! :)

[@arielchasipanta2237]

good video 10/10

[@pouyalodi5179]

Thank you.

[@mohamedyusufjeex4260]

This is a nice technique0

[@krishnachandak8321]

Amazing 😍😍

[@naomiguthrie2393]

By any chance do u have any videos using quill for skin closure? I love your videos.

[@priyadr5346]

Best suture material to use here

[@dibyasambidhansahoo9887]

Thank you

[@ahmedsami7909]

Great

[@b.e.o5916]

الله ينور يا معلمه

[@elliotduboys8894]

As a practicing plastic surgeon with over 40 years experience - this is an error that is frequently made by many practitioners and plastic surgical fellows. The suture technique that you demonstrate is not a subcuticular suture - it is an intracuticular suture. The suture is going into the cutis (demis) and not the subcutaneous tissue. As you properly alluded to, if there is any tension on the wound, you should place subcuticular sutures followed by the intricuticular suture.

[@minimedlessons]

Thank you for viewing my video and commenting. I appreciate it. I certainly understand your comment and have had conversations with my students on this exact topic. Calling the subcuticular technique subcuticular is a misnomer that originated decades ago but has continued. The word subcuticular most accurately refers to layers deep to the dermis (also commonly called subcutaneous). Intracuticular would be more accurate. However, the misnomer (which originated with plastic surgeon Carl Thiersch in 1874) has become the standard and common name for this technique. (This is discussed more here: www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012124/full). Misnomers in medicine are common, interestingly. Another example is that of "scleral icterus." In this case, it is not the sclera that is jaundiced but the conjunctiva over the visible surface of the sclera. It would be more accurately stated as "conjunctival icterus." Thanks again for following and commenting, sir!

[@elliotduboys8894]

Why perpetuate misnomers? It is us as modern surgeons to correct the misnomers of the past.

[@keo_napjai]

@@elliotduboys8894 Osteoarthritis would be another great example. The term 'osteoarthrosis' is spreading, but it is quite a hard process to change.

[@kathypechy4331]

Very well articulated and and the video is spot on as well. Thank you. Can you also share the brand of practice tissue you are using as well? It looks much more realistic than the ones I've used.

[@minimedlessons]

Thank you so much for your comment and for following along! The brand of simulations skin used in this video is SurgiReal. I really like it.

[@alishawatson1824]

What practice board is this, looks great

[@banyuinfus6829]

thank u

[@petmykitty6705]

Thank you so much for your videos. I wonder if you could please reveal where you buy your stitching pad? I purchased a kit on-line, but the pad is much too stiff and unflesh-like to do a proper job of stitches such as the subcuticular. Please advise. Thank you so much!!

[@minimedlessons]

Thanks for the comment! This particular kit is from SurgiReal. There are a lot of options out there, some better than others. The SurgiReal kits have been my favorite so far. I have no financial ties or relations with the company. Just a fan of their suture simulation supplies! surgireal.com/collections/suture-training-kits

[@swetadesai5452]

Thk you

[@user-bz7hx6wr3u]

学到了，学到了

[@Bernardo998]

Is this type of suture Good for scar revision on the face?

[@Zking950]

What suture pad did you used?

[@ShimaAhmed-zs1lc]

I am a surgical SHO in Ireland and this video is truly helpful I just want to ask about the material that you are using to practice it looks very good material and it doesn't break

[@minimedlessons]

Thanks! The simulation skin pad is from a company called SurgiReal.

[@Radmxray]

Thanks for this. I work in IR and sometimes they allow me to close ports and permacath incisions. It's been a min, so this is very helpful. Also, is that a keratosis on your skin pad? 😆 Very realistic.

[@abrahamapimbilla2904]

Thanks sir, but can you kindly explain the difference between the intracutical suture and subcutical suture

[@keerthisundar9489]

👍👍👍

[@hadijoojoo]

What is the material you use to suture on?

[@user-kx5sm4wc7n]

Hi) Please, tell me, what surgical training kit do you use for videos?) I want to buy one for myself)) Thanks in advance

[@minimedlessons]

Hello! I bought mine from SurgiReal.com

[@jawsrainbow2952]

thank you. what camera did you use?

[@minimedlessons]

My iPhone

[@shamayalsyed5226]

Is that a mole on the top 😃

[@thegreyowl8753]

What material is that? I've been looking for something to practice with.

[@minimedlessons]

This one is called a SurgiReal suturing pad.

[@julianleil7847]

When I learned this suturing technique, I wad taught to enter the opposite side at the same level I entered first, so it doesn't look like S lines. The suture would look like this: (|) (|) (|) Instead of looking like this: (| |) (| |) Do you know what difference it makes this way? I'm still doing it like this.

[@user-tq4vt4eu2e]

In which area prefer this technique? For face? Legs? 👏👏👏

[@minimedlessons]

This technique is great for the face and anterior neck. I’ve also used it in the lower back closing minimally invasive discectomy incisions. It’s not good for extremities, posterior neck, shoulders, scalp, etc.

[@ron_ning7169]

What is the purpose of this technique? And where can we apply this technique???

[@maliq276]

You mentioned "steristrips"!??? at the end!?

[@nokialover31]

Can I tie instrument at the end rather than doing an Aberdeen knot?

[@Urbanity_Kludge]

Yes but it's said the Aberdeen is smaller.

[@tmaniable]

Where can i get some of your realistic models?

[@minimedlessons]

This particular kit is from SurgiReal. I have no financial ties or relations with the company. Just a fan of their suture simulation supplies! surgireal.com/collections/suture-training-kits

[@nargissultana7385]

Very nice video

[@Montislandscapes]

Amazon

[@newmanlord7130]

Doc, You did not say how You also remove the sutures with this particular one after wound is heal .

[@HesedLove]

use an absorbable thread, then you don't need to remove it.

[@minimedlessons]

You want to make sure to use absorbable suture. You leave it and it will dissolve over a few weeks. Thanks for watching!

[@CapitanTavish]

This reminds me the scene from Austin power, the mole

[@marthaahuanlla1664]

I accidentally cut harm with a glass doing dishes, the doctor 👨‍⚕️ give me 8 stitches after 12 hours and 30 min later. He use the thin thread 🧵 polyester because they didn’t have what they normally use, the cut was deep but didn’t touch any nerve or veins, was a clean cut, he ask me to make appointment with my family doctor 👨‍⚕️ 10 days later, my doctor removed 3 stitches 🧵 only because started to bleed, he ask me to come back 2 days later to remove the others, it is 18 day and the cut were he removed the first 3 stitches 🧵 haven’t close completely, I can see the red inside the cut. What I should do, should I go to the hospital to have 3 stitches 🧵??? What I should do to close that cut ???

[@lunapetraluna7033]

Which suture did he use for this suture??

[@minimedlessons]

For this technique, we use dissolvable suture, usually something like Monocryl or fast absorbing gut.

[@wondervideos2084]

Where to buy the artificial skin to practice?

[@minimedlessons]

I got this from SurgiReal.

[@Nasserist1969]

Where's the interrupted Subcuticular suture video?

[@maganeng3063]

Where do you get your suturing supplies?

[@minimedlessons]

This particular kit is from SurgiReal. I have no financial ties or relations with the company. Just a fan of their suture simulation supplies! surgireal.com/collections/suture-training-kits

[@maganeng3063]

MiniMedLessons THANK YOU SO MUCH!!!!!!

[@FahadPetsClinicMultan]

I m vet doc can I use on campanion animals?

[@gingko3135]

French vet here ! We use this on "clean" surgeries (not on wound treatments or digestive surgeries for example) on dogs ans cats ! Just a pad on it to protect during the first 5 days and no big troubles until now :)

[@Nessunego]

If you can catch them...

[@b.e.o5916]

تسلم رجلك

[@AtheerAl]

Few tips from an orthopaedic surgeon: After the first knot, try to flip the knot by pulling on the suture, to avoid it going loose. Please avoid pinching the skin at all costs to avoid skin trauma that could lead to bruising, swelling, leaking wounds, and infection. the best is to use the forceps as a gentle retractor than pliers. Try to handle skin with care. keep pushing skin down after each bite will not make a bad suturing better, but will add more trauma to the skin's edges. Try not to handle the needle with your fingers to avoid needlestick injury and to improve your fluency too. Try holding the needle with the needle holder immediately after finishing one bite, ready to go again for the next to improve speed and efficiency. With a good closure technique, you will need steristrips less often. otherwise, well done for the efforts to help our juniors, sir

[@Clin3d]

We also have this skin model，which is more realistic than this one.if you are interested in the model，you can take a look .

[@drimbesatsyed]

On abdomen its sometimes bit churmy

[@robochibi]

this doesnt work so good on the rubber training mats as the rubber just has too much resistance to being puilled together. Better to practice on moleskin like this video

[@kiwicloud4590]

why is there a mole on it lol

[@ebtihalalsady8473]

أريده بالعربي يحجي شلون 😢😢