When I sutured my first tummy tuck I used the technique from this video. The other residents were impressed and asked me where I have learned it. Thanks to Dr. Zenn I was able to do it at first try. I am grateful for this video. Much appreciated.
A few years ago I had a suture course in my college. Right now I don't remember much from it but thanks to your clear explanations and step-by-step instructions I feel like I remember most of it now. Thank you!
Wow, an aerospace engineer? That’s awesome! I’m just an 8th grader who wants to be a cardiothoracic surgeon. I’m practicing my sutures on a banana peel because I read that is a good substitute for the silicone “skin” stuff. And I can’t afford one of those fancy suture kits. 😅
22 min, great demo, explanation, and reasoning for the suture. I’m only an LPN at the moment, and I’m continuing into the healthcare field. This video is perfect for anyone.. even for life saving measures in day to day life! I’m always thinking worse case scenario 😂, but so grateful for this!
Best to learn this with diligent practice. Betadine, subcue bleeding, respiration, pulsation, etc. can obscure & move your field of view and make this more difficult. Pay attention to your needle exit points (they are predictable). Dr. Venn (sp.) is obviously a real expert. This is a wonderful lesson.
Its a 22 min video and I felt like its only 22 sec. I love thee with pace of the work sir. Its amazing and so are you. Thank you for such a BEA...wait for it...U...tiful demonstration. 😍
Putting an emergency med kit for extended time in wilderness. Very useful for me for a possible wound (hope not!) doctors are usually not there. Thank you sir!
Precisely. I learned to suture almost 50 years ago...a very important skill for my mountaineering, sailing, and other expeditions. Although I feel like suturing is overused in wilderness settings, when you need to do it you really need to do it!
Hello, Doctor. Excellent video. I'm not a doctor or a medical student , i'm just interested in medical procedures and things related to surgery and medicine. Many years ago i was studying to be a clinical laboratory technician and i learned how to actually draw a blood sample on other students. I excelled in X-Ray, and there were occasions when the instructor had to go on an errand and i had to help the other students set up the X-Ray machine and help them develop the X-Ray film. The Hematology instructor was elderly and she used to come up in back of the students hollering all kinds of things which made me very nervous, so i finally had to quit school, she made me too nervous. I should have gone to another school and studied to be an X-Ray technician. I would have been good at that. Why i didn't, i don't know. Best of luck to you, and please keep making videos.
As a seamstress, I knew all of these stitches, but the stapler method is something I tried once ina pinch at work where my skirts fabric began tearing away from the seams, along side the seams, and as I was at work, it began to become a very big big problem as one can only imagine. LOL. Staples and fabric are not compatible lol. Glad skin and staples are though. The only difference in sewing skin, vs fabrics, is the knots, in sewing we do not use knots as much as possible. And prefer to use the smallest possible knots. But the best closures on fabric have zero knots, which we accomplish via doing the basic straight stitch and sewing over our starting position three to four times. And finishing the same way. A continuous running stitch is only used when basting as it is the weakest stitch, and often will deform the fabric, if put under too much stress. A running backstitch however, is very strong, and is used often when hand sewing a busy seam, as it will not come undone easily, can be put under fairly strong tension, and if it does come undone, you can easily patch the seam by starting about an inch away from the broken stitches, and finishing about an inch away as well. It is good to know, if in an emergency, my sewing skills could potentially help a person, by emergency, I am talking middle of nowhere with no hospitals, medics, or other access to medical attention. But in such a case. I would probably not bring sutures, but instead skin glue and bandages instead lol. As I doubt it very much a person who required emergency medical, would appreciate a novice sewing their skin together without pain killing helps. lol.
Congratulations on your accomplishments!!! I aspire to be a doctor, and I respect and admire you guys a lottttttttt!! Love and congratulations from Jamaica
I would guess that this kit is more expensive than chicken (free practice before each meal). With chicken or pork or lamb, you can practice more realistic stitching on real anatomic tissue. The great value of the kit is that it is not dirty, so you can practice anywhere anytime... But it came at a price...
Greetings. Awesome video. However, would you consider employing a darker, perhaps black colored surgical thread? It iwill be more vissible in the video. Also, have the camera angled from behind rather than the front.
Thank you so much sir I thoroughly observed your demonstration completely till the end of your video it is just mind blowing and it is very useful to improve my skills I'm a medical student .so nice really no words you made it really easier to pickup
Some people are missing the point of this video and nitpicking details to death. If you want a medical education, go to medical school, or spend a few hundred hours in an OR. Thanks to the author of the video for posting this demonstration of different suturing techniques.
I agree, but, you do realize you're on TH-cam right? Anyone can watch and comment. My 9 year old has probably watched this video. Beautiful technique though right? Mesmerizing.
This was an awesome vid! No idea why I watched it but who knows, maybe it will come in handy one day! lol (I'm just a nobody housewife so truly no idea why I'd need this knowledge but grateful it's available to me!)
Great video. I would like to suggest that you tell people they have to start with a clean incision first or to clean the site up first before suturing? Thanks so much for sharing.
i'm here at 12:30 am on a school night. do i know how i got here, as a freshman in highschool with absolutely zero interest in the medical field? no. am i having fun? yes.
Hi Measl, yes there are suture kits available from various companies with a wide range in pricing. What I would keep in mind is that what is included in each kit as well as the quality of the components varies greatly. Every person who has used our suture kit has said the quality is far superior to any other kit they have used and we have had many schools switch from the lower cost kits to our "more expensive" kit as the realism is worth the cost. They have also found they get more use out of each pad as the sutures do not tear the skin and each incision can be used many times.
This plastic surgeon (there's the hint) is so smooth, it's hard to even see what he's doing. Beautiful technique. Lovely to watch. Unfortunately, I'm better off watching a clumsy (hungover) ER resident hack his/her way through a set of simple interrupted stitches with huge suture material ( 3.0 gut) and dull scissors that you can hear scraping from the break room. I will be watching this repeatedly and wishing things.
So as a kid growing up, my mom taught me how to hand stitch and darn socks, hem my jeans etc... Other kids were like, your mom showed you how to sow? Now, I enjoy back woods canoe camping, off in the middle of no where with a bunch of other guys. So I picked up a suture kit (minor surgery kit) and went on line to look up suturing techniques. Well what do you know, simple suture, running stitch, Mattress stitch, figure 8, I already know most of these! And those kids laughed, who's laughing now bitches! LOL Honestly, thanks for the other stitching techniques I didn't know, I will pick up a practice pad and try them out, thanks for the info!
Are people awake when they get stitches? Other than for surgical reasons. Are they completely awake, wouldn’t it hurt? Are they numbed in that area while the stitches are being done?
doctors have already studied this in their medical schools as its part of the course. I am a third year med student and here i am and i still have a long way to go, so dont worry, theres time before im suturing you up :p
A very useful skill to learn, you never know when you may need it. One observation though ,for demonstration it would be better to use a high visibility thread. It's quite hard to see the looping and tying off techniques with the one being used . It's sew simple eh?
This is super helpful. I'm a ACNP student and will be doing a lot of these one day. This was better than my instructor's class. The kit looks awesome. I have a cheaper one and the silicone pad is not very realistic. I might get one of these when my student loan kicks in this summer!
@ Mari G: Good luck to you in the future. don't let anyone force you to quit medical school like my Hematology instuctor did. Read my comment above. Btw, what is an ACNP?
At 1:34 this is an incorrect knot- there should be at least 3-4 throws (the finer the suture material the more throws you need before the square knot) before using the square knot to secure it. Thus, you should wrap the needle driver at least three times, not twice.
Since the Subcuticular Closure is applicable to permanent closure but it’s way more faster when you do the Simple Running Suture. So, i would like to ask, which one is the better technique? Thank you.
When I sutured my first tummy tuck I used the technique from this video. The other residents were impressed and asked me where I have learned it. Thanks to Dr. Zenn I was able to do it at first try. I am grateful for this video. Much appreciated.
Good ol TH-cam doctor 😆
A few years ago I had a suture course in my college. Right now I don't remember much from it but thanks to your clear explanations and step-by-step instructions I feel like I remember most of it now. Thank you!
I am an Aerospace Engineer and have no idea why I am watching this. Very instructive indeed lol
Suturing your aircraft's hull is a vital aeronautical skill.
computer engineer here
Same here. I'm a car detailer. Cool vid though
Wow, an aerospace engineer? That’s awesome! I’m just an 8th grader who wants to be a cardiothoracic surgeon. I’m practicing my sutures on a banana peel because I read that is a good substitute for the silicone “skin” stuff. And I can’t afford one of those fancy suture kits. 😅
Architect here
Even after 5 years this tutorial is of great value to many! Thank you and you who contributed to this work!
1. Instrument Tie - 0:55
2. Simple Suture - 2:46
3. Simple Buried Suture - 3:52
4. Vertical Mattress Suture - 5:21
5. Horizontal Mattress Suture - 6:54
6. Figure of 8 Suture - 8:41
7. Simple Running Suture - 9:32
8. Simple Running Locking Suture - 11:10
9. Subcuticular Suture - 12:43
10. Complex Deep Wound Closure - 14:15
11. Skin Stapling & Removal Technique - 18:45
Thanks
Thank you
Thanks!
Fascinating-- the first time I've seen it demonstrated WITH an explanation. This is exactly what I needed to really understand the process.
great movie
thanks
22 min, great demo, explanation, and reasoning for the suture. I’m only an LPN at the moment, and I’m continuing into the healthcare field. This video is perfect for anyone.. even for life saving measures in day to day life! I’m always thinking worse case scenario 😂, but so grateful for this!
Exactly, well said.
Omg I was a student at New York hospital and he was a resident there 30 years ago. Very good doctor and a nice gentleman back then
Best to learn this with diligent practice. Betadine, subcue bleeding, respiration, pulsation, etc. can obscure & move your field of view and make this more difficult. Pay attention to your needle exit points (they are predictable). Dr. Venn (sp.) is obviously a real expert. This is a wonderful lesson.
رز گگج
Its a 22 min video and I felt like its only 22 sec. I love thee with pace of the work sir. Its amazing and so are you. Thank you for such a BEA...wait for it...U...tiful demonstration. 😍
I just spent a half hour watching this. Well worth it.
me, practising my suturing at mcdonalds with my homies on a saturday afternoon
Ah, a man of refined culture.
Ah, and let me guess, using a raw big mac as the test subject. Nice.
Out here living my dream as a med student
Dude his knots are like magic, super fast!
Putting an emergency med kit for extended time in wilderness. Very useful for me for a possible wound (hope not!) doctors are usually not there. Thank you sir!
Precisely. I learned to suture almost 50 years ago...a very important skill for my mountaineering, sailing, and other expeditions. Although I feel like suturing is overused in wilderness settings, when you need to do it you really need to do it!
u better should get some Lidocain/Epi as well...
Great video. Realism of material is mindblowing. It reacts applied forces like a real tissue.
Thanks Onur! Always great to hear feedback.
You are Amazing! I felt as if you were doing in front of me. Thank you so much for your diligence, doc!
Hello, Doctor. Excellent video. I'm not a doctor or a medical student , i'm just interested in medical procedures and things related to surgery and medicine. Many years ago i was studying to be a clinical laboratory technician and i learned how to actually draw a blood sample on other students. I excelled in X-Ray, and there were occasions when the instructor had to go on an errand and i had to help the other students set up the X-Ray machine and help them develop the X-Ray film. The Hematology instructor was elderly and she used to come up in back of the students hollering all kinds of things which made me very nervous, so i finally had to quit school, she made me too nervous. I should have gone to another school and studied to be an X-Ray technician. I would have been good at that. Why i didn't, i don't know. Best of luck to you, and please keep making videos.
Its never too late my friend
@@rokismrad1430 I'm too old now. I'm 71 and ready to retire and take life easy.
@@richardturner6981 I'm 77 and I figure if ever I had to..maybe I could with a little help. It'd have to be a desperate situation..but ..
1:00 tie
2:50 simple suture
3:58 simple buried suture
5:40 vertical mattress suture
7:25 Horiztal mattress suture
10:00 simple Running suture
13:08 subcuticular closure
역시 한국인. thank you
This video is literally the BEST for suture practice❤!!!! Plus the explanations on suturing techniques are easy to understand omg!
As a dentist, I throw a lot of sutures after tooth extraction or implant placement. These techniques will sharpen my skills
weird
Thanks for the video, I am now a consultant in suturing, suture specialist... lol 😂
As a seamstress, I knew all of these stitches, but the stapler method is something I tried once ina pinch at work where my skirts fabric began tearing away from the seams, along side the seams, and as I was at work, it began to become a very big big problem as one can only imagine. LOL. Staples and fabric are not compatible lol. Glad skin and staples are though. The only difference in sewing skin, vs fabrics, is the knots, in sewing we do not use knots as much as possible. And prefer to use the smallest possible knots. But the best closures on fabric have zero knots, which we accomplish via doing the basic straight stitch and sewing over our starting position three to four times. And finishing the same way. A continuous running stitch is only used when basting as it is the weakest stitch, and often will deform the fabric, if put under too much stress. A running backstitch however, is very strong, and is used often when hand sewing a busy seam, as it will not come undone easily, can be put under fairly strong tension, and if it does come undone, you can easily patch the seam by starting about an inch away from the broken stitches, and finishing about an inch away as well.
It is good to know, if in an emergency, my sewing skills could potentially help a person, by emergency, I am talking middle of nowhere with no hospitals, medics, or other access to medical attention. But in such a case. I would probably not bring sutures, but instead skin glue and bandages instead lol. As I doubt it very much a person who required emergency medical, would appreciate a novice sewing their skin together without pain killing helps. lol.
Great seeing your video Mike. Hope you and your family are doing well. Wes Schooler and family.
Why didn't we have this when I was in medical school? I had to practice on chicken skin.
I don't know why but I laughed a lot 😂😂😂😂😂
Congratulations on your accomplishments!!!
I aspire to be a doctor, and I respect and admire you guys a lottttttttt!!
Love and congratulations from Jamaica
I would guess that this kit is more expensive than chicken (free practice before each meal).
With chicken or pork or lamb, you can practice more realistic stitching on real anatomic tissue.
The great value of the kit is that it is not dirty, so you can practice anywhere anytime... But it came at a price...
I'm currently in med school and even though we have that kind of artificial skins, we practiced on pig feet as well ...
😂😂😂 oh my god !! hahaha
Skilled man what a world we live in that I can watch you work
Dr.Zenn you're my unofficial suturing mentor.
I am not a medical student but my sister got me a suture kit a lot like this for Christmas and so I have been practicing
Not a doctor, but I want to try using these sutures in sewing. I saw a thing on the internet once about using medical suture tactics to fix a pillow.
That's actually given me a cool idea thanks man
Greetings. Awesome video. However, would you consider employing a darker, perhaps black colored surgical thread? It iwill be more vissible in the video. Also, have the camera angled from behind rather than the front.
Not a medical student, just super relaxing to watch for wuteva reason.
Thank you so much sir I thoroughly observed your demonstration completely till the end of your video it is just mind blowing and it is very useful to improve my skills I'm a medical student .so nice really no words you made it really easier to pickup
Some people are missing the point of this video and nitpicking details to death. If you want a medical education, go to medical school, or spend a few hundred hours in an OR. Thanks to the author of the video for posting this demonstration of different suturing techniques.
I agree, but, you do realize you're on TH-cam right? Anyone can watch and comment. My 9 year old has probably watched this video. Beautiful technique though right? Mesmerizing.
Thank you for posting this video! The step-by-step is very informative! Thank you!
I just tried this on my fish! He is so happy he is swimming in circles!!
I uh-
Ummmmm 🤦🏻♀️
This was an awesome vid! No idea why I watched it but who knows, maybe it will come in handy one day! lol (I'm just a nobody housewife so truly no idea why I'd need this knowledge but grateful it's available to me!)
I'm veterinary student your video is well explained.
Im just here because I still believe an apocalypse will happen this year and Im going to have to take care of my apocalyptic society.
we have pandemic lmao
Lmao
same
🤣🤣🤣🤣 I feel you on this though
This video is so helpful I am a med student, and I think I will nail it because of this vid
You made the figure of 8 technique very easy for me ❤❤❤
Thank you sir..
This video are very helpful for me..
Today im learning many ways suture from your video..
God bless you..
I am OT technician
amazing suturing and technique sir
Thanku sir
this was so satisfying to watch, thank you recommendations!!!
Great video. I would like to suggest that you tell people they have to start with a clean incision first or to clean the site up first before suturing? Thanks so much for sharing.
I'm only watching this after binge watching 15 seasons of Grey's Anatomy. But this video is very informative and clear instructions and visuals
It is very important the way the needle is driven because this will dictate the cosmetic result of the sutured wound.
I’m in high school but watching this is still so cool. Can’t wait to try it.
Outstanding training. Very pleased to see your videos
i'm here at 12:30 am on a school night. do i know how i got here, as a freshman in highschool with absolutely zero interest in the medical field? no. am i having fun? yes.
I'm a librarian and idk why I'm watching this at 3am
The VATA kits are over $200.00 from VATA, however, knockoff are on Ebay for as little as $20.00 ;-)
Hi Measl, yes there are suture kits available from various companies with a wide range in pricing. What I would keep in mind is that what is included in each kit as well as the quality of the components varies greatly. Every person who has used our suture kit has said the quality is far superior to any other kit they have used and we have had many schools switch from the lower cost kits to our "more expensive" kit as the realism is worth the cost. They have also found they get more use out of each pad as the sutures do not tear the skin and each incision can be used many times.
thanks for letting us all know
Sell that shit VATA!
Nothing like a good ole fashioned pigs foot to mimick real human skin
I’ve learned a lot watching your video. How can I get a kit
This plastic surgeon (there's the hint) is so smooth, it's hard to even see what he's doing. Beautiful technique. Lovely to watch. Unfortunately, I'm better off watching a clumsy (hungover) ER resident hack his/her way through a set of simple interrupted stitches with huge suture material ( 3.0 gut) and dull scissors that you can hear scraping from the break room. I will be watching this repeatedly and wishing things.
very nice, useful to fix sofa also.
I work in Healthcare, so this is interesting knowledge to have
I'm not even a doctor, or a nurse, or a medical personnel and don't know why I watched it but this is fascinating .
It was Amazing and helpful thank you so much wish you all the best.
Would have helped me had the camera angle been his view.
This is good to know just in case your kids get hurt 👍great tutorial
Excellent video for surgeon to learn and practice
So as a kid growing up, my mom taught me how to hand stitch and darn socks, hem my jeans etc... Other kids were like, your mom showed you how to sow? Now, I enjoy back woods canoe camping, off in the middle of no where with a bunch of other guys. So I picked up a suture kit (minor surgery kit) and went on line to look up suturing techniques. Well what do you know, simple suture, running stitch, Mattress stitch, figure 8, I already know most of these! And those kids laughed, who's laughing now bitches! LOL Honestly, thanks for the other stitching techniques I didn't know, I will pick up a practice pad and try them out, thanks for the info!
Thank you very much, sir. With love from Bangladesh.
Are people awake when they get stitches? Other than for surgical reasons.
Are they completely awake, wouldn’t it hurt?
Are they numbed in that area while the stitches are being done?
You are a good teacher the information has been learnt
Very informative thank you for the time do you have any videos on different types of wounds and suturing such as right angle or T or X wounds
There's always a question that comes to mind..what would happen if we didn't close or seal the fascia and only seal superficially????
You are the.best.👍👍👍👍💖💖💖💖💖💖
Thank you, I was a medical student, but I have forgotten everything now
I have benefitted alot from you . Thank you very much for your understanble vedio
How do you tie off a subcuticular?
I HOPE THE DOCTORS WHO ARE WATCHING THIS ARE REALLY WATCHING CLOSELY!!!!!!!!
we are, thouth we dont have materials...
doctors have already studied this in their medical schools as its part of the course. I am a third year med student and here i am and i still have a long way to go, so dont worry, theres time before im suturing you up :p
Why would a doctor watch this? they’ve already learned this stuff And perform it every single day!
Sir Can u tell me when do you remove the suture in subcuticular technique?? How do you remove it out?
A very useful skill to learn, you never know when you may need it. One observation though ,for demonstration it would be better to use a high visibility thread. It's quite hard to see the looping and tying off techniques with the one being used . It's sew simple eh?
Very true
i just graduated high school today, i don't exactly know why i'm but i'm contemplating if i should proceed to pursue a job in the medical field
I suck at this. Thanks for this easy-to-follow tutorial. Now I can apply it in my surgeries.
go play doctor on animals if you are bad at sutures it will help
How do you remove the simple running suture?
nice elaboration and demonstration✊
A very useful one for me studying medicine senior year on this pandemic.
amazing tecineques i really appreciate your working means alot
Am I at an advantage if I embroider?
This is super helpful. I'm a ACNP student and will be doing a lot of these one day. This was better than my instructor's class. The kit looks awesome. I have a cheaper one and the silicone pad is not very realistic. I might get one of these when my student loan kicks in this summer!
@ Mari G: Good luck to you in the future. don't let anyone force you to quit medical school like my Hematology instuctor did. Read my comment above. Btw, what is an ACNP?
Thank you so much!! Amazing video !
Sample complex Deep wound suture
Simple Running suture 9:32
Length of suture thru the entire?
Vertical mattress suture 6:54
Which stur material was used?
Thanks very much I have learnt figure 8 technique
2:04
Sutures a wound, makes new one. 😂
Great video. Thanks!
YESSS RECOMMENDATIONS YESSSSS
At 1:34 this is an incorrect knot- there should be at least 3-4 throws (the finer the suture material the more throws you need before the square knot) before using the square knot to secure it. Thus, you should wrap the needle driver at least three times, not twice.
Watching this just in case I get framed and followed by the FBI where I only have 30 seconds in the car wash to seal up my gun shot wounds
THANKS dr
great honor to watch your videos
Nice video good knowledge God bless you Sir
Hi I am not a medical student or anything but still want to learn how to suture can anyone help me if there is any way I can do it
Really amazing and practical thank you Doctor Zen
My first ever surgery as a doctor is in 1hour, let's go
Since the Subcuticular Closure is applicable to permanent closure but it’s way more faster when you do the Simple Running Suture. So, i would like to ask, which one is the better technique? Thank you.
When i save up I will purchase one, I like how the material looks
but what about when the first two throws keeps slipping before you can get the second single throw in?
You are best teacher !
thank u very mache Mr Michel and all the groupe
it was very helpful and easy to understand
Very well explained 👏