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SUTURE Tutorial: Subcuticular Continuous Suture with Aberdeen Knot - HD Demo!
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- เผยแพร่เมื่อ 16 ส.ค. 2024
- 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.
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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!!
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. ;)
Glad you enjoyed my video and happy for you that it was well done with your procedure. Best wishes!
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.
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!
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.
So glad to hear this! Best wishes with your Vet school pursuits!
I’m an intern doing my surgery rotation in India & this was very helpful, thanks 😊🙏
I'm so glad you found it helpful! Thanks for subscribing and following along!
Which college??
@@shivanisinsinwar9972 medical college😂
@@25gollalokesh20 😅
I am an Operation Theatre Technologist student and I am very glad to see the video of subcuticular Continuous suture. It is extremely helpful 🙂.
I’m glad to hear that! Thanks for following along!
Such a fancy name. The normal name is just surgical technologist. “Operation theatre” technologist sounds silly
burying the aberdeen knot was beautiful, thank u
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.
Plz record a video of that idea❤
could you explain this a bit more?
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.
You should make a tutorial videos as well🎉
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!!
@@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.
Best example of this suturing and knot out of the numerous I watched to finally understand it properly :) Thanks!
Wonderful! So glad my video was helpful! Feel free to share!
The Aberdeen knot is fantastic! I just learned something new today! 😍
Great video!
I actually use this as a veterinarian for routine surgeries where there is no need for a recheck.
I love this style of suturing.thank you sir
finally found the perfect channel for suture
As a hopeful ob/gyn. Thank you for this informative video!
Very helpful... This is called the magician suturing here
The Aberdeen knot! Yes! thank you.
I've been searching for a good explanation about the Everdeen knot for so long! Thanks you very much ^•^
Simply beautiful
Thank you
A very nice technique! Thanks for the demo...
This is the best suture video I’ve ever watched!!
Very informative and detailed
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!
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! 😂
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.
Thank you. Every little detail is explained.
Thanks for following along!
Amazing video..
Thank you so much for such great explanation..
Significant Video, Doc,
Hi from Ghana.
Hello to Ghana! Thanks for watching!
Very helpful. Thank you for taking your time making this video
Thanks for watching and following along!
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.
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!
Why perpetuate misnomers? It is us as modern surgeons to correct the misnomers of the past.
@@elliotduboys8894 Osteoarthritis would be another great example. The term 'osteoarthrosis' is spreading, but it is quite a hard process to change.
Thank you very much for this video.
dele ambeke thanks for watching and commenting! I hope you’re enjoying the channel!
Great instructional video. Thank you!
Thank you for the knowledge
Good video. Thanks for sharing.
Great video! Very helpful
Wonderful I'm gonna try it next time ❤
Great video and technique! Thank you for this and the other videos you make!
Amazing video, thanks
Awesome explaination
Great technique
Great video!
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
Beautiful.
Thank you.
Well explained 👏
Wonderful video!
Thank you 💕 it hepled me alot
Very informative...Thank you!
Thank you it's verry helpful
So helpful! Thanks!
Thank you!
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.
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.
very simple and useful
الله ينور يا معلمه
Best suture material to use here
very good.thanks
satisfying closure! Thank you for sharing! :)
Thank you for helpful video
well done
By any chance do u have any videos using quill for skin closure? I love your videos.
Great
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
Thanks! The simulation skin pad is from a company called SurgiReal.
Thank you
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!!
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
Amazing 😍😍
Thanx a lot man ❤️
Thanks sir, but can you kindly explain the difference between the intracutical suture and subcutical suture
This is a nice technique0
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.
good video 10/10
thank u
Thk you
In which area prefer this technique? For face? Legs? 👏👏👏
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.
Doc,
You did not say how You also remove the sutures with this particular one after wound is heal .
use an absorbable thread, then you don't need to remove it.
You want to make sure to use absorbable suture. You leave it and it will dissolve over a few weeks. Thanks for watching!
This reminds me the scene from Austin power, the mole
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.
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 .
What practice board is this, looks great
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 ???
Is this type of suture Good for scar revision on the face?
学到了，学到了
Can I tie instrument at the end rather than doing an Aberdeen knot?
Yes but it's said the Aberdeen is smaller.
thank you. what camera did you use?
My iPhone
What is the purpose of this technique? And where can we apply this technique???
What material is that? I've been looking for something to practice with.
This one is called a SurgiReal suturing pad.
👍👍👍
Where can i get some of your realistic models?
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
Very nice video
Amazon
You mentioned "steristrips"!??? at the end!?
Where's the interrupted Subcuticular suture video?
Is that a mole on the top 😃
What is the material you use to suture on?
Hi) Please, tell me, what surgical training kit do you use for videos?) I want to buy one for myself)) Thanks in advance
Hello! I bought mine from SurgiReal.com
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
What suture pad did you used?
On abdomen its sometimes bit churmy
تسلم رجلك
En couture, c’est le point coulé (invisible). 🤓
Where to buy the artificial skin to practice?
I got this from SurgiReal.
Do nada ela falou para todos nós estamos aqui em em frente do shopping né em em frente do mercado e em casa e e e muito melhor agora no centro do rio grande
Where do you get your suturing supplies?
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
MiniMedLessons THANK YOU SO MUCH!!!!!!
DJ Henrique da Silva Santos Silva r da minha vó hoje e amanhã vamos lá buscar as coisas por aí já está falando comigo e muito obrigado pela atenção
Which suture did he use for this suture??
For this technique, we use dissolvable suture, usually something like Monocryl or fast absorbing gut.