Learn How To Suture - Best Suture Techniques and Training
ฝัง
- เผยแพร่เมื่อ 29 เม.ย. 2024
- Learn the best basic suture techniques from board-certified and world-renowned plastic surgeon Dr. Michael Zenn. Subscribe for New Videos: bit.ly/3chp13f
TABLE OF CONTENTS:
0:51 Instrument Tie
2:56 Simple Interrupted Tie
4:36 Simple Buried Suture
6:17 Vertical Mattress Suture
8:09 Horizontal Mattress Suture, Figure-of-8, Half Buried Suture
10:54 Simple Running Suture
12:55 Simple Running Locking Suture
15:06 Subcuticular Running Suture
Presented by Dr. Zenn and Zenn Plastic Surgery:
www.zennplasticsurgery.com
Demonstration of all the technical aspects you need to cosmetically close all of your open wounds. This video course is narrated by Dr. Michael Zenn and was filmed originally as part of the Duke Suture Skills Program.
As a non-surgeon, non-doctor, non-student with an interest in acquiring skills which could be useful later, I appreciate your videos and clear explanations.
same
True😊
haha, me too
Ditto guys. Never can learn enough.
Me too
Watched this as a student when you first posted it, now in refreshing my half-buried suture as a general surgeon resident!! Thank so much Doc!!!
Congrats! Good to hear of med students using this to help propel them into their specialty!
have you graduated?
Once again, you are the best Dr. Zenn! You have taught me every single suture not that I know including the surgeons tonight at the beginning of a throw. And then went to have three throws or four or more throws depending on what kind of suture thread you’re using! Please keep on with your videos! You are teaching individuals that are going to need these techniques on the battlefield or on the emergency room! You have people of all walks of life watching you! Thanks Doc! 🙏💜🇺🇸
I cannot find that quality and realism of synthetic skin (approximating fat layers and skin texture). Do you have a supplier link, please?
Wow! I just found my mentor ...plastic surgeon at dawn. Much appreciation doc!
I'm a medical student and I've probably watched this video, or at least parts, about 10 times. Great technique and teaching!
Hamilton Newhart I’m a medical student and i watched some parts about 20 times :)
@@Rae-qf9kfheh make it 30
@@SalixCanAlba .
Lo n
This is my first time
I have no idea why ANYONE would give these videos a thumbs down. Dr. Zenn is perfect in his explanations and demonstrations of the techniques. He's far better than any of my instructors. I'm very grateful for these videos.
:)
Dr. Zenn is Amazing. It must be people who hate knowledge. I would attend medical school just to be taught by him. I just learned how to suture in its many forms. Thanks Doc, you are exceptional!
Gemini Miris .¿. Bbbbb
Thanks for watching. What other demonstration videos do you want to see?
how to remove the suture?
Did my first lac repair yesterday. Wish I found this video/channel earlier. Would have definitely eased my anxiety. Great teaching!
Doc Zenn, that is some fine semestering. When I was in med school my instructor would just shake her head and tell my “Your not roping cattle” Sir, it is a treat to see quality instruction.
I need to learn more about instruments tie
@@habibamohammedhabibahabiba6130 c
Excuse my ignorance, but what was she trying to say by "you're not roping cattle". Did she mean that you were being too slow and meticulous?
I've never seen sutures as neat and carefully done as the ones in this video. Ive had to get sutured several times and mine always looked like they were done by a 10 year old with Parkinson's.
@@travism9339 Abby's point was that "you're not roping cattle" is not very instructive. Probably meant "you're not tying it right" or "you're being too rough", but wanted to say it in a creative way in order to sound more intelligent/instructive.
This video on the contrary (Abby wanted to highlight the difference) is very precise in its instructions, provides elaboration where necessary, and includes context on each of the types of sutures.
Superb instruction.
@@seeker296 Yes, seeker....I understand the point she was making. What I didnt understand was what the phrase her instructor used was supposed to mean.
I have to thank you. I used this video to learn basic stitches for my work as a veterinary assistant. This was the first one to explain it in a sensible and very easy way. Really, thank you so much. Simple, calm, right to the point, perfect.
This is by far the most skillful suturing techniques i have ever watched. thanks for sharing
Hands down the best, most simply presented, clearly demonstrated, and easily followed suturing tutorials I have watched to date. Thank you. Keep up the wonderful work.
I'm at the end of my family medicine NP internship, and this is hands down the best suturing tutorial on TH-cam. Who needs lecture when you got 19 minutes of Dr. Zenn! The one suture I saw elsewhere which wasn't mentioned is the "pulley suture". I haven't used it clinically but it's basically a vertical mattress but right before you do your instrument tie you place the needle through the last loop on the opposite site and then tie it off. It basically locks big gaping wounds. I'm not sure how practical it is clinically though in comparison to the ones doc mentioned as I'm sure many of them have similar locking strength. Thanks so much doc!
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@@saifuddin1347 ....
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same here, mostly other tutorial either is too fast or so far away from camera, thanks doc!
.
That burried running stitch was a piece of art! Very helpful :)
Wow 7 years ago i wonder if u got my comment rn
Amazing tutorial, I didn’t think there was more to learn about simple techniques, but somehow you manage to teach a lot, thanks for sharing!
I am a PA student and have watched this video multiple times before my ED and general surgery rotations! Thank you so much for the clear explanations and wonderful demonstrations. Appreciate you Dr. Zenn!
Thank God for you Dr Zen. You have helped me develop the confidence I was lacking to begin suturing.
This is the highest quality suture video on YT. Thank you!
Man this was awesome. I learnt ~9 suture techniques in under ~20 minutes. Thank you so much!!!!!
Praying to see More surgeons/ specialists doing this on TH-cam please 🙏🏾..you really help those of us in African countries that still have rudimentary postgraduate training systems.
You taught me in 20 minutes what I've been trying to study for months now. Can't wait to head back to the ER and try these out (: thanks doc 👍
Hey, hope everything’s going well for you! Do you have any tips or advice for someone thinking of going to med school? Im really passionate about getting into medicine but after reading a lot about it, I’ve heard that many people find it completely takes over their life and causes them a lot of stress. What’s your personal experience on the workload if you don’t mind me asking?
This is by and far the most high quality suture video I have seen. Thank you!
Thanks for learning and watching!
That subcuticular running at the end is really awesome! Thank you for this.
0:51 Instrument Tie
2:56 Simple Interrupted Tie
4:36 Simple Buried Suture
6:17 Vertical Mattress Suture
8:09 Horizontal Mattress Suture, Figure-of-8, Half Buried Suture
10:54 Simple Running Suture
12:55 Simple Running Locking Suture
15:06 Subcuticular Running Suture
Lorenzo Hu
Lorenzo Hu jruurrjti
Subcuticular the hardest
@@rakeshpatni3657mk..
.m,😮😮😮😮😮😊😊
Just finishing up med school, surgery is my final exam and then hopefully onwards to my first surgery post. Thanks a lot Dr Zenn, of all the TH-cam tutorials, yours are the most thorough, no BS, and all-round brilliantly put together videos. Thank you very much for putting this out there, class of 2020 definitely need it!
Good luck hope you nailed it
Hope your exam went really well (I’m 2 years too late really😅) just wondering, do you have any tips or advice for someone thinking of going to med school? Im really passionate about getting into medicine but after reading a lot about it, I’ve heard that many people find it completely takes over their life and causes their mental health to plummet, did u find this was the case or are people trying to scare me off😅
@@amethystspeaker6919 SAME HERE, what grade are you in??
@@alexxx3021 COOL, I’m almost year 12 (doing end of year exams now), are you American though since I think the grading system is different. Either way I have 1 or 2 years till uni and I still don’t have a definite sense of direction! I would love to get into medicine but I know it does require a lot of dedication and work and I’d be so scared to take it and end up regretting it😭 wbu?
@@amethystspeaker6919 You can graduate medical school and not become a doctor. Bunch of people just get the degree, do a year of intern to get the license, and go into other fields, like pharma, private equity research, MBB consulting, or biotech. Best degree, even above MBA, to sell yourself in those industries
Thank you! I know this is basic but it answered a lot of questions I never fully understood in school.
Lee Meng Chieh الله
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I'm posting new suture training videos soon, stay tuned!
risik
Thank you. Im learning survival techniques and this is way up there as far as things that one needs to know.
Same
Will try this techniques in chickens.
I like this technique of sutures
Thank Dr Zenn I can't stop watching it
Thank you for taking the time to teach us! This is a skill that I have no practical experience in, so I needed a place to start!
Taking time in order to explain this much to your students and general audience...Perfection
Very good
Xxxx blue film
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@@mangalkishorejamatia8604 . G
@@aqilurrehman1835 008i0
Im not even a med student and I work for a bank but I love to watch suturing and this video made me love it even more.
Agreed. I hope he makes more. This is do cool.
How you reconnect tendons, arteries, blood vessels, muscle tissue... all this stuff still sound like science fiction to me.
Tin Porras
Tin Porras that makes 2
دنبنتلنبتبول
I am not a surgeon or a medical student just a 60 years old lady still interested and learning about everything in case I need to help someone out in an emergency when no one else is available. Thank you very much for this video.
NP student here and I just want to say how thankful I am for this video. Thank you for sharing your gifted talents Dr. Zenn
best surture video in the world does not get any more simplified than this...that's a fact
Agreed.
Best video with good explanation thank you
That subcuticular running suture is a work of art, amazing skills doc.
Dear Dr.Zenn, thank you for concise and comprehensive lecture! Very useful for teaching new generations of surgeons. Nothing to add. Eugene Shepichev, M.D., thoracic surgeon
This is fascinating. Thankyou for posting this. I'm not a medical student but always wondered how stitches were done. I sew a lot, different things that can be done with a thread & needle always amaze me.
Dr. Zenn: your knowledge & skill levels are clearly on display here at a high level. That last stitch you used looked to be by far the most effective suture if your goal is to leave as minimal a scar as possible. How long did it take you to perfect or master that level of suturing skill as demonstrated in this video? On 4-21-1980 I was in a severe near death accident. As a passenger getting a ride back to college, the driver crashed off a 250-cliff, atop a 3700-foot mountain in W.VA. I was transported via air rescue helicopter to Roanoke Memorial Hospital where I underwent a 7-hour surgery. I broke my jaw in 3-places & on both sides. However my right cheek, ear, eye, and neck suffered severe lacerations requiring a plastic surgeon then, and for the subsequent 6 more surgeries required over 14-years. I was extremely lucky that Dr. Kong, a very gifted plastic surgeon was available to perform the wound suturing. I had a total of 157-plus stitches when finished. It is absolutely amazing what a truly skilled plastic surgeon can do! I mean AMAZING! My right face looked so awful, and suffered so much damage I never ever thought it would look even OK. Dr. Kong did an absolutely incredible job, and even though scars exist with any major wounds, I was extremely pleased, and each subsequent surgery only improved my facial scars. I can even shave with a normal razor without any differenceor caution while shaving over all those scars. My point is, suturing and/or stitching is an extremely important skill regardless of where it's being performed to avoid scarring. IMHO I believe many, if not most, non-plastic surgeon doctors perform sutures for speed and for simple fast closure. However, the patient has to live with those scars the rest of their life. I think there are a lot of Surgeons that should maybe give a little more time & effort when closing a wound, and perfect their skills for both themselves as well as the patient. Thanks for an excellent tutorial video on how to perform suturing. William ~
Why i'm watching this? I'm a railway Engineer😇😊
Power plant operator. Seems relevant as every other month or two I get bashed up a little.
😂
😂
Actually it's a great skill to learn. You don't know when you're going to need it. Like first aid.
Who told you to see.this is for medical staff not for you means engineering 😂😇
This may have been the best 20 minutes I've ever spent on TH-cam.
I'm about to start my emergency medicine rotation and really hope to get to do some more suturing!
Very nice. Of course, there are MANY other special purpose suture patterns. I often used a running vertical mattress for skin closure where there is some tension and additional support is desired.
I’m almost 15 y/o. I plan on being a surgeon. Either neuro or general. I’ve never understood anything better. You explained this so we. I took a ton of notes. Thank you!!
The world needs more people like you. There’s nothing more fulfilling than impacting thousands of people. You’re the one!
Dr. Zenn Thank you so much sir. It means a lot!
this was two years ago, but yeah same here! i hope you do achieve what you hope for :)
did u become a surgeon?
Do you guys have any recommendations if it comes up to a suture kit? Just for practicing; also:
00:47 - Instrument Tie
02:54 - Simple Interrupted Suture
04:34 - Simple Burried Suture
06:15 - Vertical Mattress Suture
08:05 - Horizontal Mattress Suture, Figure-of-8, Half-Buried Suture
10:50 - Simple Running Suture
12:52 - Simple Running Locking Suture
15:03 - Subcuticular Running Suture
hey dr zenn ive just now joined med school and i really wanted to get to know sutures and practice em before uni starts and ive never understood anything better ..thanks a lot ..
Wow the best video on suturing techniques on the internet! Thank you Dr Zenn Sir
I split my knee while hiking up a mountain in my home city. I am thankful for this video for helping me with my sutures. No scarring occured.
Holy fuck... the implication is you sutured yourself? That's hardcore
You are my hero!
Whaaaaaaaaat...
Once the Lidocaine is in, it's not a big deal unless you're squeamish. You can't feel it. It's just like sewing cloth except you have to be more precise with your stitching.
How do you know she had access to lidocaine?
Probably the best suture video I have seen, very clear explanation and perfect images. Just makes it all look so much easier.
As a student of IV year I thank you from my heart for these amazing techniques❤️
I just bought a nice practice suture set. Not in med-school or any school for that matter, just a nursing assistant. I've always had a secret dream of working in surgery from when I was a kid that was shut down because I wasn't academically strong and your videos helped me learn that I might have a knack for it. Thank you so much Dr.Zenn for this free lesson!
Go for it. I have seen some students rise from nursing assistants to DNP nurses who work in the theater.
Simply amazing. Thanks for the refresher!
I'm not a doctor or a nurse. I was honestly just curious about suturing. This was very interesting and informative. Thank you!
Same, just hope someone doesn't think I'm a psycho 😅
Dr. Zenn, thank you for your time providing these demonstrations with perfect explanations. I live far away, med student, and without that demonstration, with lousy instructions where I study, I'd never make progress. Thank you.
David Cesarino
Thanks Surgeon .. What I was worrying about was subcuticular cosmetic suturing and now it's like am almost an expert .. Thanks for your knowledge
Thank you so much for this video. I am only 14 years old and will be a freshman in high school. Though, I am very interested in becoming an orthopedic or a cardio-thoracic surgeon. I found this video very helpful to learn about suturing.
Amanda Piro have you been watching Grey's Anatomy lol?
thank you for sharing your techniques and tips
As an avid self incision maker, I’m excited to test this out! Im saving up for the materials 😊
I am a general practitioner. Benefited your beautiful and clear surgical stitch.
Thank you so much.
Perfect !
Best I've ever seen
Many thanks
Impressive training video Dr Zenn, your demonstration of each technique was very well presented.
😷
Not MD, RN-OR, did simple in military, outstanding presentation, bringing back salient memories. Thank you
Starting ENT (Otolaryngology) in the UK and found this super helpful. Thank you!
Getting ready to start premed classes, very helpful! Thank you!
good luck!
@@ella9163 .
Why in the whole world would you dislike this video...wtf is wrong with ? Put it in a comment
thank you #Duke Suture Skills for sharing this.
agree
completely agree.
Haters gona Hate...
Maybe someone who didn't get into Duke? haha
Man, calm down, don't worry for shits. My opinion is youtube auto generate dislikes just for balance.
Thank you so much. I am currently in the process of building my own medical faciality to perform surgeries. I have never been to med school, so these sort of videos really help me learn the procedure. Hopefully someone trusts me enough to let me give it a shot
Thanks a lot Dr Zen!!! Best suturing demonstrations I've ever come across!!🙏🏽🙏🏽🙏🏽🙏🏽
This perfect MD and Director
Thank youuuu sooooo muchhhhhhh sir!!!!!! Your teaching increased my interest in surgery❤️❤️❤️❤️❤️❤️❤️❤️❤️
بسىتسيءبس
بايضىو
بتنيشى
Thank you to the person who donated their skin to the making of this video
Wonderful explanation for understanding the basic concepts of the art suturing with details regarding tension and plausible outcomes of various types of sutures like a clean adhesion by a simple subcuticular running suture.
Thanks Duke for the fantastic video!!!
Thank you so much for the great detailed explanation. I knew some of the stitches that were being done however did not know that there was a technical name for them. It's nice to see how they all can kind of work together. I understand now why some of my scars are visible and others are almost non-existent. It's nice to see the attention to detail.
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Stellar, this video gives a good overview on the basic types of suturing. I am going to keep practicing by referring to this video.
Hello Dr. Zenn! 3rd year medical student here. Thank you so much for taking the time to teach this entire video. Hands down, the absolute best one I've seen so far. Just a few questions:
-when you bury the knot using the subcuticular technique, are you simply poking the knot with the tip of your suture to drive it into the skin then, releasing the knot while still in the skin and then, pull the free suture out at an angle?
-when you close high tension wounds with a vertical or horizontal mattress technique, you are holding the suture a little closer to its end with your driver to get a longer bite, correct?
-when you are doing a simple running suture, an assistant is ideally pulling the free string towards them after each bite (while you are working on making the next bite) to keep the previous bites taut... and then they release it after you make the next bite... then repeat.. correct? I believe I have seen it done this way during my OB rotation while observing C-sections so I just want to make sure.
Hey, hope everything’s going well for you! Do you have any tips or advice for someone thinking of going to med school? Im really passionate about getting into medicine but after reading a lot about it, I’ve heard that many people find it completely takes over their life and causes them a lot of stress. What’s your personal experience on the workload if you don’t mind me asking?
@@amethystspeaker6919If Your not smart (e.g. like I am) it can feel like slavery. Without the possibility to earn money. But for a man it could be easier.
Beautifully done
His technique is ABSOLUTELY superb!
Hick yeah! Thank you! I's so pleased y'all shared this tid bit a information! I bin stitchin me self and any one willing to let me stitch em up for years now, least now I have some real life professional teachings for my future endeavours! Thank ya again kind sir!
This the best tutorial i’ve ever watched. Thank you, Helped alot!!
Shoutout from McMaster University! Great video!
we are building a community not dependent on corporate institutions for medical care. these youtube instructional videos are a blessing. it was a good demonstration, thank you
Im a medical student and i received a suture practice kit as a gift. Im watching ur video and practicing. Thank youuuu
MUY BUENA TECNICA CON SUS DISTINTAS FORMAS DE SUTURAR, ME GUSTARIA APRENDER POR CUALQUIER SITUACION EMERGENTE
How he hid the knot under the skin with the subcuticular running suture was nice !
Good video
Hiii daisy 😂 be frand me
Wow!! I must say that I learned a lot from your video, I am no doctor but I love to learn so to that I say thank you.
Thank you for teaching suitable techniques in very easy way.. Really helpful😊
I was watching hiking video but out of nowhere, i got this in recommended and i watched it with full interest... And i'm engineer...
nisedudo
Thanks for sharing
Absolutely wonderful video. Thank you so much for uploading this - it's very clear, well lit and shot, and you explain everything so nicely. Thank you again for making this and sharing it for free.
Thanks a lot doctor!! Actually I m a vet student....This helped me a lot for better understanding!!!
One day I want to become a surgeon it’s been my life long dream :)
Excellent! Excellent!
Having next to no real medical experience (beyond the lab) his video was good enough that I feel I could dive into a cadaver and successfully do everything short of the subcuticular run. I feel working in the dermal layer would require some experience, but I'd definitely give it a go.
This is an exceptional educational video, thank you for the clear instructions doctor !
Medicine is a skill acquired by anyone with time and practice.
Does anyone learn how to tie their shoes upon the first try? Does anyone learn how to do a perfect 3-point turn in an automobile the first time? Does anyone learn how to eat "chicken noodle" soup...without having some product land on their' shirt of pants the first time.
Answer; NO. Impossible. So...this is just a skill,...not to be in "awe of"...just another skill....like anything in life. We get good at what we practice and what we "wish to get good at".
Nice video. Thank you.
I do everything great the first time, and perfect the second. On a bad day ;)
Run for president Jacob.
Frank From Upstate NY very motivating
Well you know what you are motivating people to become quack doctors.
If practice is everything then why the hell doctors study anatomy,physiology and what not fucking subjects.
Jacob Carey *clap clap*
And now my prof is asking me to watch this for learning😭 when can i go back to school
Thank you doc for sharing such a good video of suturing.. I was trying hard to learn but couldn't succeed.. finally I am able to learn something very interested n skilled. Heartful thanks...
Thousand thanks, Dr. Zenn, for sharing.
Thanks for sharing your wisdom !!
Intravenous injection
Wawww like please l need you help
Just occurred to me that this may be a cadaver he's working on! :S lol Great video just the same!
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Fom a pediatric and plàstic surgeon: this tutorial is very clear and exhaustive on all cutaneous sutures you need in clinical practice
Very genrous way of teaching ..with such specific detail... salute to u sir !
Hoping to get some input here. Practicing on a pig's foot with 4/0 Hopemedical 1.5 metric sutures, the needle seemed to dull after only two sutures and bent from the pressure required to pierce the flesh. Was that likely my (lack of) technique, or is pig flesh harder to pierce? Or was I using a suture that was too small? Or...?
Thanks.
I believe the suture with a cutting needle is best for skin and a tapered needle is good for delicate skin, see which needle you are using