Still remember what my consultant told me while I was doing my O&G placement back in med school. PDS stands for "Pretty Damn Strong", that's why you use it to close the abdominal fascia.
Thank you. I am a newer OR Nurse and I have struggled learning suture because I'm told to get suture but can't see where the surgeon uses it. Last week I was asked to get suture and I said "SH or CT?" The surgeon said he was using it for bowel. I started studying deeper into my books and as found your videos. Big help.
Thanks for the video Dr. Pearson. It was very helpful. Clear and well organized so it really helped get the info through my thick skull. Subbed. One thing I noticed: The stated strengths on the chart at 13:59 are flipped. The >3-0 column should have the higher retained tensile strength after placement.
My go-to surgical channel! Is the difference in infection rate between absorbable & non-abs that absorbable may potentially lead to EARLY infections (incr soft tissue infections, esp in superficial) vs non-absorbable can be a nidus to LATE infections?
Great video, I am doing my SFA placement and I needed to know more about the sutures so this information that you have provided has given me the basic knowledge of sutures and I love the category or classification, beautifully done. I would like to know about the retratures used in different specialities next and why.
Thanks for putting together this video. As a surgical trainee I find it hard to find material related to more practical and comprehensive guide to fundamental elements in surgery.
@@citizensurgeon Absolutely Dr. Pearson, that would be wonderful! This is another topic that could use some clarity and I am sure many of us would be greatly appreciative.
thank you dr can you make a vedio on what type of closure we mostly use for differnt circumstances... when simple when continuos when matress and so on.
Thank you so much for this video doctor! I am a recently graduated surgical tech and after watching this video I have a better understanding of how and why surgeons use the different type of sutures.
Thanks so much for the comment and I’m so happy you found this valuable, there are loads of different sutures and needles and I tried to at least tackle the suture part :)
Is it fair to say that, from a purely cosmetic point of view, skin-closures are best made with non-absorbable sutures and then the sutures removed at a time indicated by on monitoring of the wound?
Hi Doc. 👋 Once again, thanks for an awesome video. I'm just wondering if you could briefly comment in laymen's terms how a suture can stay inside the body for life and not break down or cause any problems? Is it a simple case of the suture being engineered for such conditions? Any information you can provide would be greatly appreciated. Thank you.
Great question… The permanent sutures such as prolene, ethibond, dacron and silk are there forever. They do not undergo hydrolysis nor enzymatic degradation. Most are inert and non reactive though silk can react with the body and cause suture granulomas. So yes, the suture is engineered this way. Having permanent suture is important in some cases like cardiac surgery if we want to maintain tissue architecture.
Thank you for a really informative response. That makes sense. It's not always easy to get a clear explanation from a surgeon, so your comments are very much appreciated. I had tendons repaired about a year ago, and the sutures are made of permanent polyethylene material. This seems common practice in tendon orthopaedic repairs. Just needed to be able to understand the science behind it. Thank you once again.
Great video Doc. I'm a layperson showing interest in sutures as I had rotator cuff repair last year using permanent synthetic braided suture in a knotless repair. My question is.. are permanent sutures used in such tendon repairs as they need long term support to heal and the absorbable sutures lose their tensile strength too quickly? Thank you once again for a great video.
Thanks for the question and Yes! Every different operation has different goals. Absorbable sutures, for example those for a bowel anastomosis or sewing skin, we want to go away over time. Permanent sutures we want to hold their strength forever and we see those used in both orthopedic surgery and in vascular surgery. Long term support is exactly right. I appreciate you engaging and I'm glad you enjoyed the video. Thank you again!
What is the longest lasting suture for pelvic prolapse surgery? My surgery failed at 4 weeks. I was making a cup of coffee that morning and felt a sudden sharp pain down there and a few hours later saw sutures on my underwear. Several weeks later I found that one of the repaired prolapses was back. I don't want this to happen again if have repairs again. Please help.
I am sorry you experienced that, I understand currently there are two techniques, one is with a permanent suture like ethibond or silk and the other is with a tacker…however it may not be just the suture type, it may have to do with the pelvic floor anatomy, certainly chat with your surgeon. Good luck!
Thank you for engaging, you can certainly closer the adipose layer of the abdominal wall to decrease dead space and this suture line can be placed in scarpa’s layer. I think catgut has such a short half-life that it may not provide sufficient strength. I personally use a 3-0 victuals for this layer in adults, sometimes as a running continuous layer and other times as interrupted sutures. Hope that is clear.
Still remember what my consultant told me while I was doing my O&G placement back in med school. PDS stands for "Pretty Damn Strong", that's why you use it to close the abdominal fascia.
Love it, those stories stick with you, thanks for sharing
Thank you. I am a newer OR Nurse and I have struggled learning suture because I'm told to get suture but can't see where the surgeon uses it. Last week I was asked to get suture and I said "SH or CT?" The surgeon said he was using it for bowel. I started studying deeper into my books and as found your videos. Big help.
Helpful for a junior surgery resident here - thanks!
Thanks Dr. Gehle! Glad it is helpful, let me know if there is a topic you would like me to cover!
Outstanding video on sutures! It should be a required viewing by all the medical students and surgical residents.
Thanks so much! I’ll have another one coming up on needles, happy you found this helpful!
I learned this while in Surgical assistant school. I love being a first assistant!
Awesome Vance, love that you love being in surgery, I definitely agree!
You’re doing a great job, I appreciate your dedication and sharing knowledge. Thank you
Awesome thanks! Glad you enjoyed!
Thanks for the video Dr. Pearson. It was very helpful. Clear and well organized so it really helped get the info through my thick skull. Subbed.
One thing I noticed: The stated strengths on the chart at 13:59 are flipped. The >3-0 column should have the higher retained tensile strength after placement.
Thanks so much for the feedback, apologies for the mistake but happy you noticed it! Have a Great day!
My go-to surgical channel! Is the difference in infection rate between absorbable & non-abs that absorbable may potentially lead to EARLY infections (incr soft tissue infections, esp in superficial) vs non-absorbable can be a nidus to LATE infections?
Great video, I am doing my SFA placement and I needed to know more about the sutures so this information that you have provided has given me the basic knowledge of sutures and I love the category or classification, beautifully done. I would like to know about the retratures used in different specialities next and why.
Great video. I like how you help us remember the way you remember. Perfect dang suture. Cool
Thanks for putting together this video. As a surgical trainee I find it hard to find material related to more practical and comprehensive guide to fundamental elements in surgery.
Thanks so much Peter, I was thinking about doing a needle one as well…helpful?
@@citizensurgeon Absolutely Dr. Pearson, that would be wonderful! This is another topic that could use some clarity and I am sure many of us would be greatly appreciative.
Your videos are a god send 🙏🙏🙏
The topics you choose are always the most relevant. I thank you.
So happy you enjoyed it, I try to keep it real!
thank you dr
can you make a vedio on what type of closure we mostly use for differnt circumstances... when simple when continuos when matress and so on.
Absolutely, thanks for your support. Just put out a video on deep ties, will get some wound closure videos out as well.
amazing video doc , very helpful and informative . please keep the great work , thank you very much
Thanks much i wana know more on sutures this helps alot
Dr thank you so much for this video,I can suture boldly now am not afraid
Awesome! So happy it helped!
Thank you so much for this video doctor! I am a recently graduated surgical tech and after watching this video I have a better understanding of how and why surgeons use the different type of sutures.
following up on that needles video too!! thanks again!!
Thanks so much for the comment and I’m so happy you found this valuable, there are loads of different sutures and needles and I tried to at least tackle the suture part :)
Amazing. Please needles video next 🙏🏽
Sounds good will do, I have a short on needles that will give you a quick once over :)
Which needle do you want to use? #shorts
th-cam.com/users/shorts0CBSk5GANKA?feature=share
Is it fair to say that, from a purely cosmetic point of view, skin-closures are best made with non-absorbable sutures and then the sutures removed at a time indicated by on monitoring of the wound?
Huge fan of yours.
Surgery resident from India
Awesome! Thanks Dr. Goutam! Let me know if there is a topic you want me to cover!
Thanks, just want to say, you are very motivating! :)
Awesome, comments like yours keep me motivated to keep motivating! So happy you found value!
Top video thank you doc.
I really like Vicrly rapid.
Excellent yes that’s a very good suture when you want it to go away quickly!!
Well-done doctor
Thanks
Hi Doc. 👋
Once again, thanks for an awesome video. I'm just wondering if you could briefly comment in laymen's terms how a suture can stay inside the body for life and not break down or cause any problems? Is it a simple case of the suture being engineered for such conditions? Any information you can provide would be greatly appreciated. Thank you.
Great question…
The permanent sutures such as prolene, ethibond, dacron and silk are there forever. They do not undergo hydrolysis nor enzymatic degradation. Most are inert and non reactive though silk can react with the body and cause suture granulomas. So yes, the suture is engineered this way. Having permanent suture is important in some cases like cardiac surgery if we want to maintain tissue architecture.
Thank you for a really informative response. That makes sense. It's not always easy to get a clear explanation from a surgeon, so your comments are very much appreciated. I had tendons repaired about a year ago, and the sutures are made of permanent polyethylene material. This seems common practice in tendon orthopaedic repairs. Just needed to be able to understand the science behind it. Thank you once again.
@@naturevideos.8802 absolutely, happy to help! Those sutures are with you forever. Hope you had an awesome recovery!
Great video Doc. I'm a layperson showing interest in sutures as I had rotator cuff repair last year using permanent synthetic braided suture in a knotless repair. My question is.. are permanent sutures used in such tendon repairs as they need long term support to heal and the absorbable sutures lose their tensile strength too quickly? Thank you once again for a great video.
Thanks for the question and Yes! Every different operation has different goals. Absorbable sutures, for example those for a bowel anastomosis or sewing skin, we want to go away over time. Permanent sutures we want to hold their strength forever and we see those used in both orthopedic surgery and in vascular surgery. Long term support is exactly right. I appreciate you engaging and I'm glad you enjoyed the video. Thank you again!
Thanks Doc. All the way from Australia.
What is the longest lasting suture for pelvic prolapse surgery? My surgery failed at 4 weeks. I was making a cup of coffee that morning and felt a sudden sharp pain down there and a few hours later saw sutures on my underwear. Several weeks later I found that one of the repaired prolapses was back. I don't want this to happen again if have repairs again. Please help.
I am sorry you experienced that, I understand currently there are two techniques, one is with a permanent suture like ethibond or silk and the other is with a tacker…however it may not be just the suture type, it may have to do with the pelvic floor anatomy, certainly chat with your surgeon. Good luck!
@@citizensurgeon Thank you for your answer. Yes, I will talk to my doctor about it.
Wonderful ..thanks again for this video
Absolutely!
great introduction video. Gen Surg resident here.
Awesome Kerrick! So glad you found me, sorry for the delayed reply, somehow I missed you! Let me know if there is a topic you want covered!
Thank you, so helpful
Awesome! So happy you enjoyed it!
Thank you so much for this video, easy to understand.
Paula I’m so pumped you enjoyed it!
@@citizensurgeon soon I will be in clinic hours as a surgical tech. I am so nervous; thanks again.🙏
@@paulak929 awesome, you’re going to be great, just be patient :)
LEGEND!!!!
thanks
love this. Final yr med student from Samoa 🇼🇸
Awesome! Congratulations on making it to final year! What kind of doctor do you want to be?
Great information ❤
Thanks so much Anna!
I learned a lot , that was awesome , quick question do I need to close the subcutaneous fat ? A professor told me to use cat gut
Thank you for engaging, you can certainly closer the adipose layer of the abdominal wall to decrease dead space and this suture line can be placed in scarpa’s layer. I think catgut has such a short half-life that it may not provide sufficient strength. I personally use a 3-0 victuals for this layer in adults, sometimes as a running continuous layer and other times as interrupted sutures. Hope that is clear.
@@citizensurgeon thanks for replying . By “victuals “ do you mean vicryl ?
thanks for the video and nice infos god bless you
Thanks so much Zaid, I’m glad you found value!
Omg god finally i understand size and needle shape
Awesome!!
Thank you so much doc, its effective and awesome 🙏
Sweet, glad you liked it!
@@citizensurgeon absolutely doc 🥰
Perfect video
Rockin, glad you enjoyed it!
My faviorate department of medicine ❤❤SURGERY❤❤
Awesome! Mine too!
@@citizensurgeon keep going Dr citizen
Thank you so much ❤️for video
Absolutely love that you found it helpful!
You’re my idol
Hahaha…too funny! Happy to inspire! Have a great weekend!
I love it 😻
Awesome!
🅿🆁🅾🅼🅾🆂🅼 🙃
Simplelife-g1o
Great job! Thank you!
Absolutely! Glad you enjoyed it!