SUTURE Tutorial: Subcuticular Running Suture - Step-by-step instructions in HD!
ฝัง
- เผยแพร่เมื่อ 10 ก.ย. 2024
- Don't forget to SUBSCRIBE! Thanks for watching this suture tutorial focused on the subcuticular suturing technique! Please consider subscribing, liking this video, and sharing with your friends! More videos linked to below.
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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. I used the tension base in the video for instructional purposes only- So you could see what I was doing a little easier.
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...
Subcuticular Suturing with Aberdeen Knot - • SUTURE Tutorial: Subcu...
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.
Thanks for watching! Want to learn to finish this same stitch with the Aberdeen Knot? Check it out here: th-cam.com/video/M3vISruyFkI/w-d-xo.html
Or how about Subcuticular Interrupted Suturing? It's pretty great too! th-cam.com/video/LIRYwERwIxQ/w-d-xo.html
Thank you for all of your work here. I’m not a Health Care Professional but I am a surgical sales representative and these videos are very helpful in learning theatre techniques which help me to better understand how my products can help. I work for a company who is very focused on quality patient outcomes and reducing healthcare costs. Your videos are simply excellent.
Wishing you all the best for 2020 and beyond.
Only 2 million views? pssh
Oh Brad, it's a good thing I know you... :)
@@lancealbon46 pp0qm
Where can I get this silicon suturing model?
*Remembers this for when I’m on a stranded island with someone who has a cut*
Funny thing, I just wrecked on a same island and happen to have my ER-sewing kit with me! PHEW, what a relief!
afakasibaby He will mentally die if you have no numbing agent
@@ugwemuhwemosas7884 lie
You cant use that technique though as it would be very unlikely you would have stitching thread that melts. So you would have to do it the most common technique.
only reason why I watched it!
Im watching this like I’m an actual surgeon or something....I haven’t even graduated from high school yet :/ y’all wish me luck because I lowkey want to become a surgical technician
EDIT: a year later and I just got into the surgical program!!! I REALLY MADE IT😭
shirleyyy And I don't even speak English!!!
oum oum WOW HAHA well at least you’re learning something here 😂
Me too
Surge techs arent too hard to become, youll be great
Nate G tskwachu mean?
I just imagine a surgeon sitting on the floor in the corner of the theater YouTubing how to close up their patient..
I'm a medical student and i love these videos 😂
imagine waking up mid surgery cause the anesthesia has worn off because he's only 1/2 way through the video.
if one has such a large cut, would adrenaline make it painless to sew within 5 minutes or how long after it wouldn't be numb any more ?
@@Choice777 I dont know. I'm a hairstylist. 😂😂
@@Choice777 what if that particular person is just so calm and it doesn't numb him
I like how it has a mole
😂💧😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂😂☻😂😂☻😂😂☻😂😂😂😂😂😂😂😂☻😂☻😂☻😂😂☻☻😂☻😂☻😂😂😂😂😂😂😂😂😂😂😂☻😂☻😂☻😂😂😂😂😂😂😂☻😂☻😂☻😂☻😂😂😂☻
@@xtra_612 why arent the emojis aligned???
*TRIGGERED*
Uber realistic
Lmao I was wondering what that was. I couldn't stop looking at it. It was very distracting lol
😂
not gonna lie....im using thins video to sew my mattress ......
MaggieWongg love it, im watching because ive watched to much walking dead lol and i now value survival skills 😜
MaggieWongg -too funny but it should work! Get some fabric glue too, so that the top edge will stay approximated and not rip open.
Please tell me when u reap mattresses would love some pic
I'd recommend a mattress stitch for that instead.
Bahahahaha
Well, TH-cam you surprise me everytime. I don't know why it showed up in my recommendations,but I watched the WHOLE thing. And i have to admit found it pretty satisfying LOL
I have no idea why it came up in your recommended (LOL), but thanks for watching and I'm glad you enjoyed!
My dad is a surgeon, he is already retired but I saw him do this once because of a family emergency and it was amazing, but he was working quite fast so I didn’t get to appreciate the technique. I’m loving this.
I was always the “nurse” because growing with a very passionate doctor is quite interesting and fear of blood or gore is not something you develop.
@L F o.0
@L F What’s the logic behind that? 🤔
Just watched this entire video and I'm not even remotely close to being a surgeon. I found it fascinating though!
*pops up in recommendations* has no idea what he’s taking about but watches anyways😂💀
That's me right now 😂😂😂
I have no idea why it came up in your recommended (LOL), but thanks for watching and I'm glad you enjoyed!
I think you made your POINT. Subcutaneous sutures are KNOT as easy as people think. Kill me.
Haha, love the play on words! :)
You're killing me with the puns. I'm in stitches!
Al P could you explain the joke? I'm sew lost
I might burst a seam.
hahaha good one
i'm majoring in accounting why am i here?
Bro why you majorinh in counting
Dude I do accounting, I'm not even in school anymore! Why am I here??
Im not out of middle school yet why am I here?????
hannigram is REAL🖤
What a boring degree looooool
Nurse midwifery student here and I'm almost done with my program, but these videos have been SUCH a help - suturing is a skill we were shown once and then expected to just master. . .and sometimes there are weeks without any lacerations to practice, so THANK YOU for such succinct and easy to follow videos!
Of all the suture demos on youtube, yours is the most comprehensive!!
thankyou :) 👍
Thanks for the comment!
30+ years ago, I was a graphic designer in Atlanta and my biggest client was a vet, an exclusively feline practitioner. I had the privilege of watching several of the doctor’s surgeries and one in particular sticks in my mind. The cat had bladder surgery and when the vet closed the incision, he used this very type of suture. It impressed me because he could have closed the wound with a much simpler (and stronger) suture method. The wound would never be seen, yet he used this subcuticular running suture even though the cat’s fur would grow back and it would cover the scar. I suspect he might have been showing off a bit; nonetheless, I’ve always remembered that.
I’m seeing too many questions about this:
How do you remove it if it’s inside the skin?
Answer: you don’t. It’ll resolve inside the skin after the skin has finished healing itself.
If I remember correctly, that's what horse hair was used for in old times. The body would deal with it after healing was done. Sure, clunky as hell but hey, if it holds you together, why not?
tate and violet should have gotten married
he said smthg about the thread being absorbable thats y it shouldn’t go above the skin
Most dr use insoluble threads in this type of suture.. Like in c section
I am studying to become an SA...this is the best subcuticular tutorial I have watched. Thank you
Thank you!
This was a very comprehensive demo... but why was this in my recommended? I don't even want to pursue a medical course...Nonetheless! Great video though!
Same, haha! I was considering a medical career at one point but I wouldn’t be able to handle the needles and stuff lmao
I have no idea why it came up in your recommended (LOL), but thanks for watching and I'm glad you enjoyed!
Me: Jesus that’s so complicated
Clementine: hold my beer
Alex gotta love the tell tale walking dead reference !
how's that complicated ? easiest sew i've ever seen...not even 10 punctures.
Alex HA! Funny
Eres mexicano no se haga
Oof. This hit me deep
"so, you're sure you can do this?"
"Yeah I watched a TH-cam video, dw."
😂😂😂😂
Take a shot every time he says "epidermis" 😂
>hic
Non medical students here?
புகழ் s lol
Thank you for the video! It was in my recommendation and now I can fix my memory foam pillow with this stitching method!
In case i want to get into freestyle surgery, ah yes✨
Are you my girlfriend?
Sylas the Great are you?
@@bigsnugga nah, she is
Yissssss
I have no idea y I’m here
👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿👏🏿 BORED AS FUK. PITIFUL
SAMEE
I just used this technique on my jeans that had been cut by glass, worked perfectly and in about a month you won't even see the scar. Thx!
Sutured my foreskin shut..very well informative video thanks alot
Anybody remember when Dr.Yang was competing with chief while doing this is greys anatomy 😂😂
this was in my recommended but you sound a lot like Jim Halpert if he was making a tutorial on suturing
Daci J he really does lmao
Ah shit... now i cant unhear it LMAO
Maybe this is part of the CPR dummy that Dwight cut the face off of😂
Some surgeons out there are quite proud of their beautiful intricate sutures. Professionally perfect but works of art.
I always watch vids about cars, video games and documentaries. Why is this on my home page? 😂
I enjoyed watching the whole thing tho. 😂
Same 😂
Melissa Hanson oh hi 😍😋
I just sliced open my forearm with a box cutter and used this as a tutorial! Thanks bro! I had to use dental floss though I hope that isn’t a problem.
On purpose?
i'm supposed to be sleeping right now..
This totally just clarified why my surgical scars are shaped the way they are
Okay, I got a theory. How many people who got this suggestion watch ASMR videos? I think we were recommend this by the algorithm.
I watch asmr videos too!
I don’t watch ASMR, I’ve literally no idea why this popped up in my recommend
I DO ! I think your on to something!!
I watch ASMR and nursing prep videos, so I think this was just bound to be recommended lol
I watch asmr but also vet videos so
Nice video I just got my stitch kit and all the accessories I'm a mountain man so this is just for me and my people I just plan on stitching wounds up as if I'm sewing a pair of ripped jeans however I do know where to use internal and external stitches and I have both, scars are not a worry out here because they tell a good story
Me: watches one scene of Grey's Anatomy
TH-cam: Here's 15 videos on how to do sutures for your recommendations feed
You could close the surface with tape butterfly strips if its a non-tension location. This was really good and clear. Thank you for sharing your expert knowledge!
manthasagittarius1 thanks for watching and commenting!
This is exactly how an invisble stitch when sewing fabric is done including burying the knot! Pretty cool! Im sure you could be a tailor faster than i could be a surgeon. But, i could close for you now! 😂 thanks for the info! Not at all wgat i expected!
Tools and technic is exactly same as one doing upholstery work for furniture.
I have no idea why this was on my recommended or why I watched it
Im mastering in Architecture but I'll never know when I'll need this knowledge, but I still watched it...and probably subscribe haha 🤷♀️😂👏
Was watching Greys Anatomy clips then seen this video recommended to me. Lol this reminds me of when Christina was suturing a banana 😂
Well…this is different from my other strange and random recommendations.
You yy8
Mood
I'm the only one who doesn't complain about being this in his recommendation?
This appeared in my recommended videos for some reason, now I won't be completely clueless when suturing a small laceration whenever the zombie apocalypse comes... Thanks!
This is oddly relaxing...
Can’t wait to cut my friend and try this on them!!
Happiest Chip I’m glad we’re not friends. No offense.
Non taken.
Lol!
i have no use for this knowledge but i like it
Well the YT algorithm really helped this guy out
Wait...You went to fast...Are the stitches supposed to go through my arm or the patients?
Devondrick Both.
Together forever...or until the string desolves.
Brilliant, didn't ask TH-cam for it but I enjoyed it. I was always interested in medicine, didn't want to study it, but I like to be educated about my body and things connected to it. Than I have a bigger chance not to be tricked by doctors.
really after watching more than 30 videos i just stopped by ur video and said thanks god . really best of the best and thanks for ur efforts
Thanks for the message!
Watching this during an emergency Very well taught would recommend
Thank you!
Tried this on an orange. It didn't survive. I don't feel so good.
Was looking for DIY. Was not disappointed.
"is there a doctor in the house?"
"I'm not a doctor but I watched a how to TH-cam video about suturing"
One more youtube video thats prepping me for a post apocalyptic nightmare. Thanks👍🏽
I don’t do anything in the medical field and I watched the entire video 🤷🏼♂️
Your channel puts Vumedi, the TH-cam of certain surgeries, to shame. Thanks for sharing.
Thanks for the comment!
I’m 14 and I can say that I’ve subcutaneously sutured my own dermal laceration on my leg. Great job me! (Yes it should have hurt but I’m on pain meds for CRPS so I felt nothing. ) I’m seeing my doc for a checkup tomorrow, and I am asking him how he thinks I did.
Edit: he literally asked me “who sutured this? I’ve never seen this style before but it’s really well done! I thought it was just a project from your makeup class” (I’m in a makeup class for school)
no one asked
@@thewhutnow5795 i did
@@franz.francisco I don't see any questions kid. Be a good little boy now and keep quiet.
@@stephenstrange4444 ?
So your hallucinations have just started
I have a best friend currently studying medicine. On the off chance that he’ll see this one day, Kafo Ashka!
I misread the title as “sculpture step by step tutorial or whatever” and half way through the video I realized this is about stitches lmao
Its kinda satisfying seeing the cuts...
I’m scared right now cuz last night my sister sent me pictures of a pigs foot because she wanted to show me that she was practicing how to stitch and stable wounds, I showed them to my family earlier today, now today without even looking up anything medical related this shows up on my recommended feed. K. Them phones really be listening to what you say
I believe this is the technique my surgeon used on me post thyroidectomy. Fascinating!
Yes, most likely! We definitely prefer to use this method when suturing the neck because it decreases the significance of the scar if done right.
I'm a writer, so this being in my recommendations was pretty helpful as my characters get pretty damaged.
Same actually. I'm always looking for material in my recommended
Thanks Dude! We owe you a beer for after the surgery!!!
Thanks for watching! Glad you liked it.
Thank you so much for making this! May I ask...in an emergency situation where you are without a numbing cream, how painful would getting stitches be?
MusicSavedMyLife i Love how i found an army in this HIIII
Okay so this is grim but on the odd occasion self harm patients have been forced to get stitches without pain relief and on another note I once helped my Dad stitch his eyelid. It's definitely painful but the level of pain depends on where needs stitching, whether the person still has natural painkillers surging through them, and the skill of the person doing it, etc. You might get the shakes from the pain and if it wasn't done well the pain might be long lasting due to nerve damage, but you'd survive. The pain ranges from anywhere from a 5/10 to a 9/10 I would say. 10 being the worst pain you can imagine and 0 being no pain at all. Also in this video he's showing a relatively easy wound to stitch. So if you genuinely want to know for emergency situations check out everything you could possibly need to know about wounds and sutures including cleaning procedures and army and bushcraft medicine.
No painkillers? Simple use alcohol. A lot of alcohol until they are blacked out drunk
I imagine the wound itself to overshadow the little needle
Ive gotten them removed without that on my head and it hurt i screamed and shoved his hand away it was so intense
This one is going to my useful videos for the zombie apocalypse folder
Thanks for making these videos! Awesome as always, keep up the great work. I love the way you explain each step. Not overwhelming amounts of details but lots to think about!
pa student here....love all your videos! thanks so much!!
Thanks for watching! You should tell your PA instructors they are welcome to use my videos as supplement to their suturing instruction. I made these videos for my PA students originally. :) I'm a PA myself.
That's awesome!! thank you, and I will tell them :)
That's a tough one. I would be sweating bullets 😓😓😓
It's a little more technical than other techniques, that's for sure! But with practice, it's doable and can become a favorite for certain lacerations/incisions. Find yourself a good practice model like the one I use to teach and then just practice. :)
MiniMedLectures thanks for the advice! Will do.
This was in my recomendations, but now I feel very informed for the future me burying a knot the right way in some scenario where I am doing a good job at suturing a wound ;)
How do you do it if you're left handed
Lulu Charlene With your left hand probably
Lulu Charlene use ur left hand🤦🏾♀️
You go the other way
You don't. Science hasn't advanced that far.
I was wathing Sia videos, now i know how to suture...thks TH-cam.....
Where did you get that model from? Been using pig paws my whole life hehe
I've done pig feet as well, but this model is nice because it doesn't go bad. :) This is the SurgiReal suturing trainer. I have no financial relationships with the company but do use it with my students. It's a great trainer. www.surgireal.com/our-products/suture-training/
Daniel V you use what now?!
This guy would make beautiful reappoloster furniture possibly heavy canvas sewing
Why thank you. :)
How do you get the anchor out during removal if the skin has sealed up and healed up around it?
This suture technique is only used with absorbable suture, such as Monocryl. So they dissolve over several weeks rather than getting removed.
Suburban Preparedness well my question is answered
These sutures we BEAUTIFUL
Thank you!
Medics Doc and Corpmens life savers this shit make so much sense to me now thanks for the vid doc
Glad you found it helpful!
Would people go through this with local anesthetics?
If the wound is not part of a larger surgical site Yes. As in the example of an episiotomy, it is sutured this way to avoid contamination by waste and other bodily fluids.
They give you something to numb it
this is strangely intriguing
i love you doc
I love you too, random citizen. :)
I watched them fix my dad's nose and eyes last night stitches on him for 2 hrs...poor fellow... but now in hospital watching these vids it's amazing
And I’m over here can’t even sew a button on
But now you can sew skin... :)
*plays Goodbye Horses Buffalo Bill theme*. I don’t know what brought me to watch this, my deep interest in all things medical, morbid curiosity....but very informative. My sewing skills may be lacking (I fail at being woman), but if the zombie apocalypse ever hits, this will definitely be a very useful skill.
Btw that’s some creepily eerie realistic fatty skin.
I wanna pray for you sir. You've been great help. God bless you sir. Thanks!!!
I don't know if this is a dumb question but if you ankor it under the the skin the suture it close how are supposed to get that out
Hi there. When using the subcuticular suturing technique, it's important that you use dissolvable suture material - suture that does not get removed but dissolves after the incision/laceration heals. I generally use 5-0 Monocryl for subcuticular suturing. Thanks for watching!
when I cut my finger once I remember they used these white kinda strips to close almost kinds like tape
Humberto Cruz in these cases absobable sutures are used
Your body absorbs the shit
World+Savior it eats it and makes more body parts with the nutrients
I'm in college for vet technology degree and vet master degree (4+ years)... my whole life is prepared for that future career. I love science and medical stuff. Exciting and dangerous is in my blood... hehe. My whole family is in medical field, different levels. Nurse, doctor, vet, and rescuer (paramedic)..
Can you put regular stitches on the epidermis afterwards instead of steri strips?
Conrad Harmon you could if you wanted to or needed to, but you usually choose subcutaneous sutures for cosmetic purposes, steri strips won’t cause extra trauma and therefore more scarring and simple stitches would. Of course every wound is different so u should really think about whats better for that particular wound.
Metzli Rodriguez thanks, that makes sense. Have you noticed any difference between steri strips vs stitches on “width” of the scar? Id assume stitches would hold the wound closer together, and it seems more permanent when trying to keep it sealed shut. Steri strips kinda scare me in that regard. I wouldn’t trust them to hold there place and not cause the wound to open slightly. Id rather have a thin scar with a few pin hole scars, than one bigger scar without the little holes. Im just curious. Whats your experience with them?
@@conrad2690 My experience with steri strips is limited to none, in all honesty. I've never personally used them because we don't have them available in the hospital I study in. But I've seen patients with both types of closures with all kinds of results. I guess you never know how a patient will heal. However, I must tell you I'm just a medstudent with a passion for plastic surgery so take my words with a grain of salt.
Metzli Rodriguez thats true, i hadnt thought about people healing differently. Thanks for the info, also good luck in your endeavors!
@@conrad2690 Thank you. I enjoyed our little exchange. Good luck to you too.
Ladder stitch, nice
very nice，very helpful
This really doesn't look like something you'd want to DIY.
Thanks for the video. It will be really useful.
Looks like a hot dog
Ya know, it kind of does! :)
Somebodies hungry...?
Dang now I can’t eat hotdogs anymore
WolfAteMyAnime cool profile photo
I'm a nurse and I loved it.
excellent.. thanks!
how did you make the suture pad? or where did you buy it from? thanks!
This is the SurgiReal suturing trainer. I have no financial relationships with the company but do use it with my students. It's a great trainer. www.surgireal.com/our-products/suture-training/
I thought this was a pimple popping video
Not disappointed tho it was really entertaining!
Hi. sorry but i have a question: where did you find out that type of skin?
This is the best suture training pad I've ever seen. LOVE it. I have all my students by it for their surgical course. SurgiReal - www.surgireal.com/our-products/suture-training/
MiniMedLectures Noticed the pads come in dark skin as well. How important is it learn to suture on dark skin? Is it just the lack of contrast between the skin tone and seeing the suture?
Nandinha M. Yes, as said in video
Nandinha M. That one looks like Silk, so non-absorvable. He used it because it's easier to see in video.
@@Dad_a_Monk man, black fake skin pads matter!! Dont be racist! Jk
Thanks! That will be useful for my studies and lessons!
In my mother's time medical doctors used to use dogs, pigs and mouses. Now you use synthetics. What happened?
(Granted I am 31, and my mom began medical school 9 years before I was born)
The synthetics are so much better than dead tissue these days!
Novo Eduardo AC .no hacer daño a los animales