Welcome to Surgical X, Surgery Explained! My name is Paul. I'm a Certified Surgical First Assistant and here to explain and help you practice the techniques used in surgery. I will be covering a range of topics including surgical instrumentation, surgical supplies, and surgical techniques. I will also be reviewing some of the contemporary supplies used in surgery. My goal is to educate and train you on not only the long-standing practices but also the emerging approaches.
If this sounds interesting to you hit the SUBSCRIBE button on RU-vid and contribute in the comments! The exchange of ideas is one of the most valuable assets we have.
You mustn’t angle your scissors, that’s wrong, there’s a reason why you always have to cut parallel to the threads and that’s because there’s less stress on the blade of the scissors
what a great video. short, simple to the point and very informative. i would love to watch you explain different methods of suturing and which one to use to close an incision.
La maggior parte dei tendini guarisce entro due o tre mesi, ma possono essere necessari fino a sei-otto mesi. Il tempo necessario affinché la sutura si sciolga dipende dal materiale di cui è fatta. Di solito, la sutura è un materiale non assorbibile come Ethibond che durerà tutta la vita. Altri materiali come Vicryl sono assorbibili dal corpo e non sono consigliati per aree soggette a stress di lunga durata. L'assorbimento di Vicryl è relativamente breve e dopo un mese sarà pari a circa la metà della resistenza alla trazione. Spero che aiuti! Ciao! Most tendons heal within two to three months but can take as long as six to eight months. The legth of time it takes for the suture to dissolve depends on the material it's made of. Usually, the suture is a nonabsorbable material like Ethibond which will last a lifetime. Other materials such as Vicryl are absorbable by the body and not recommend for areas where there is long lasting stress. Vicryl absorption is relatively short and will be around half of the tensile strength after a month. I hope this helps! Ciao!
I am really having a hard time with the cutting. I am left handed but surgeon wants me to cut with my right hand, I need to get it right, this video is really helpful! Do you have any ideas on how I can practice this at home? Any help you can give me? Thank you!!
Yes! Great question! When you cut with your right hand, use your thumb to PUSH the scissors loop away while you hold it firmly with your other fingers. When you cut with your left hand, use your thumb to PULL the scissor loop towards your hand while you hold it firmly. Think about the movement necessary (push/pull) that will bring the blades of the scissors together. I hope this helps!
Hello, Felipe. Which part of the Krackow would you do differently? It's essentially a continuous locking loop suture and I hope you could share your variation. Thank you, Paul
I was taught to cut parallel to the incision so you don’t cut the skin edge (if you go perpendicular) eg if cutting deep dermals for the surgeon I have my tip parallel to the wound.
Hi! Definitely get those scissors parallel to the incision if you need to stick them deeper into the wound. Staying parallel is helpful when you're at a superficial layer. Excellent observation!
Thanks, bud! I moved and haven't made one in quite some time. I'll get back at it one of these days. I'm actually working on an ebook that will include these videos. Paul
This is very helpful. I’m a medical assistant who will be helping cut suture tails for a provider. Example-cutting suture from a tongue. I want to make sure I don’t cut the tails too much or not enough. Would the example you show at the beginning of your video be the same for the mouth?
Yes, Jaclyn! You will definitely benefit from this technique. Remember to just cut with the tip of the scissors in small spaces such as the mouth. You don't want to cut anything beyond those sutures. Feel free to reach out with any questions. I've moved in the past six months and haven't made a video in some time but am working on a text with video links.
Well, Abdul, instrumentation is costly and, in order to give a thorough presentation, I'd need quite a few. What you're really looking for falls under the responsibility of the Surgical Technologist. They are the surgical team members responsible for instrumentation. I found a decent video for you. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-XDTWRMs07XU.html I hope this helps. You can also try searching under Sterile Processing or Central Instrument Sterilization (CIS).
What's the explanation for vertical and horizontal mattress naming convention? it seems to me that the stitch technique should be called perpendicular (vertical) and parallel (horizontal) mattresses. Am i missing something?
Excellent observation, Jason! The names refer to the plane that they occupy. That perpendicular (vertical) runs mainly in the vertical plane. The parallel (horizontal) runs mainly in the horizontal plane. To confuse yourself even more, try considering that suture on a vertical surface. Your nomenclature might actually work better!
