Choose the Perfect Suture!

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  • เผยแพร่เมื่อ 12 พ.ย. 2024

ความคิดเห็น • 92

  • @schan2975
    @schan2975 2 ปีที่แล้ว +11

    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.

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว +2

      Love it, those stories stick with you, thanks for sharing

  • @PoloMan-k1c
    @PoloMan-k1c ปีที่แล้ว +4

    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.

  • @ARAVance
    @ARAVance 2 ปีที่แล้ว +2

    I learned this while in Surgical assistant school. I love being a first assistant!

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Awesome Vance, love that you love being in surgery, I definitely agree!

  • @somecallmedaniel16
    @somecallmedaniel16 2 ปีที่แล้ว +1

    Helpful for a junior surgery resident here - thanks!

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว

      Thanks Dr. Gehle! Glad it is helpful, let me know if there is a topic you would like me to cover!

  • @DerekEvilsizor
    @DerekEvilsizor หลายเดือนก่อน

    Great video. I like how you help us remember the way you remember. Perfect dang suture. Cool

  • @ahwang4628
    @ahwang4628 2 ปีที่แล้ว +1

    Outstanding video on sutures! It should be a required viewing by all the medical students and surgical residents.

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว +2

      Thanks so much! I’ll have another one coming up on needles, happy you found this helpful!

  • @annejoylemasurier9922
    @annejoylemasurier9922 8 หลายเดือนก่อน

    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.

  • @chrispin8996
    @chrispin8996 9 หลายเดือนก่อน +1

    You’re doing a great job, I appreciate your dedication and sharing knowledge. Thank you

    • @citizensurgeon
      @citizensurgeon  9 หลายเดือนก่อน

      Awesome thanks! Glad you enjoyed!

  • @laidyssolar8813
    @laidyssolar8813 ปีที่แล้ว

    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.

    • @laidyssolar8813
      @laidyssolar8813 ปีที่แล้ว

      following up on that needles video too!! thanks again!!

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      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 :)

  • @petersielski3550
    @petersielski3550 ปีที่แล้ว

    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
      @citizensurgeon  ปีที่แล้ว +1

      Thanks so much Peter, I was thinking about doing a needle one as well…helpful?

    • @petersielski3550
      @petersielski3550 ปีที่แล้ว

      @@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.

  • @UnyimeJohn-fw2jt
    @UnyimeJohn-fw2jt ปีที่แล้ว

    Dr thank you so much for this video,I can suture boldly now am not afraid

  • @VanessaManwau
    @VanessaManwau 5 หลายเดือนก่อน

    Thanks much i wana know more on sutures this helps alot

  • @TheBlurayHacker
    @TheBlurayHacker ปีที่แล้ว

    Your videos are a god send 🙏🙏🙏
    The topics you choose are always the most relevant. I thank you.

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      So happy you enjoyed it, I try to keep it real!

  • @gabrielsticks2829
    @gabrielsticks2829 3 หลายเดือนก่อน

    Top video thank you doc.
    I really like Vicrly rapid.

    • @citizensurgeon
      @citizensurgeon  3 หลายเดือนก่อน

      Excellent yes that’s a very good suture when you want it to go away quickly!!

  • @kerrickakinola7398
    @kerrickakinola7398 2 ปีที่แล้ว

    great introduction video. Gen Surg resident here.

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว

      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!

  • @medico2024medico
    @medico2024medico 7 หลายเดือนก่อน

    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.

    • @citizensurgeon
      @citizensurgeon  6 หลายเดือนก่อน +1

      Absolutely, thanks for your support. Just put out a video on deep ties, will get some wound closure videos out as well.

  • @blueworldadam
    @blueworldadam ปีที่แล้ว

    Omg god finally i understand size and needle shape

  • @OluwatomisinAremu-bs7ij
    @OluwatomisinAremu-bs7ij 4 หลายเดือนก่อน

    Well-done doctor

  • @sidharthagoutam5794
    @sidharthagoutam5794 2 ปีที่แล้ว

    Huge fan of yours.
    Surgery resident from India

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว

      Awesome! Thanks Dr. Goutam! Let me know if there is a topic you want me to cover!

  • @iestynmalaki9712
    @iestynmalaki9712 2 ปีที่แล้ว

    love this. Final yr med student from Samoa 🇼🇸

    • @citizensurgeon
      @citizensurgeon  2 ปีที่แล้ว +1

      Awesome! Congratulations on making it to final year! What kind of doctor do you want to be?

  • @harrimakela1433
    @harrimakela1433 10 หลายเดือนก่อน

    Thanks, just want to say, you are very motivating! :)

    • @citizensurgeon
      @citizensurgeon  10 หลายเดือนก่อน

      Awesome, comments like yours keep me motivated to keep motivating! So happy you found value!

  • @naturevideos.8802
    @naturevideos.8802 3 หลายเดือนก่อน

    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.

    • @citizensurgeon
      @citizensurgeon  3 หลายเดือนก่อน +1

      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.

    • @naturevideos.8802
      @naturevideos.8802 3 หลายเดือนก่อน

      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.

    • @citizensurgeon
      @citizensurgeon  3 หลายเดือนก่อน +1

      @@naturevideos.8802 absolutely, happy to help! Those sutures are with you forever. Hope you had an awesome recovery!

  • @abuderbala7414
    @abuderbala7414 ปีที่แล้ว

    amazing video doc , very helpful and informative . please keep the great work , thank you very much

  • @naturevideos.8802
    @naturevideos.8802 6 หลายเดือนก่อน

    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.

    • @citizensurgeon
      @citizensurgeon  6 หลายเดือนก่อน

      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!

    • @naturevideos.8802
      @naturevideos.8802 6 หลายเดือนก่อน

      Thanks Doc. All the way from Australia.

  • @asubabong5354
    @asubabong5354 5 หลายเดือนก่อน

    Thanks

  • @paulak929
    @paulak929 ปีที่แล้ว

    Thank you so much for this video, easy to understand.

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว +1

      Paula I’m so pumped you enjoyed it!

    • @paulak929
      @paulak929 ปีที่แล้ว

      @@citizensurgeon soon I will be in clinic hours as a surgical tech. I am so nervous; thanks again.🙏

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      @@paulak929 awesome, you’re going to be great, just be patient :)

  • @Tom-kt8lu
    @Tom-kt8lu ปีที่แล้ว

    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?

  • @rightpa
    @rightpa ปีที่แล้ว

    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.

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Thanks so much for the feedback, apologies for the mistake but happy you noticed it! Have a Great day!

  • @jorgeluismosquerazavaleta3403
    @jorgeluismosquerazavaleta3403 ปีที่แล้ว +1

    Amazing. Please needles video next 🙏🏽

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Sounds good will do, I have a short on needles that will give you a quick once over :)

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Which needle do you want to use? #shorts
      th-cam.com/users/shorts0CBSk5GANKA?feature=share

  • @cooker521
    @cooker521 หลายเดือนก่อน

    LEGEND!!!!

  • @nasrullahjan1231
    @nasrullahjan1231 ปีที่แล้ว

    Wonderful ..thanks again for this video

  • @nohandle740
    @nohandle740 ปีที่แล้ว

    thanks

  • @becky1925g
    @becky1925g 2 หลายเดือนก่อน

    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.

    • @citizensurgeon
      @citizensurgeon  2 หลายเดือนก่อน +1

      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!

    • @becky1925g
      @becky1925g 2 หลายเดือนก่อน

      @@citizensurgeon Thank you for your answer. Yes, I will talk to my doctor about it.

  • @Idontrememberasking
    @Idontrememberasking 10 หลายเดือนก่อน

    Thank you, so helpful

    • @citizensurgeon
      @citizensurgeon  10 หลายเดือนก่อน +1

      Awesome! So happy you enjoyed it!

  • @fatmaabdirahman9872
    @fatmaabdirahman9872 2 ปีที่แล้ว +1

    My faviorate department of medicine ❤❤SURGERY❤❤

  • @falmingz
    @falmingz ปีที่แล้ว

    thanks for the video and nice infos god bless you

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Thanks so much Zaid, I’m glad you found value!

  • @andresraulmalpartida
    @andresraulmalpartida ปีที่แล้ว

    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

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      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.

    • @andresraulmalpartida
      @andresraulmalpartida ปีที่แล้ว +1

      @@citizensurgeon thanks for replying . By “victuals “ do you mean vicryl ?

  • @mimishaadmasu5956
    @mimishaadmasu5956 ปีที่แล้ว

    Thank you so much doc, its effective and awesome 🙏

  • @blahblah5308
    @blahblah5308 2 ปีที่แล้ว

    Perfect video

  • @annagrijalva7127
    @annagrijalva7127 ปีที่แล้ว

    Great information ❤

  • @Sky-gy2xz
    @Sky-gy2xz ปีที่แล้ว

    Thank you so much ❤️for video

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Absolutely love that you found it helpful!

  • @oscarmolina32
    @oscarmolina32 ปีที่แล้ว

    You’re my idol

    • @citizensurgeon
      @citizensurgeon  ปีที่แล้ว

      Hahaha…too funny! Happy to inspire! Have a great weekend!

  • @walawymohammed4311
    @walawymohammed4311 2 ปีที่แล้ว

    I love it 😻

  • @jermainegiles631
    @jermainegiles631 2 ปีที่แล้ว

    🅿🆁🅾🅼🅾🆂🅼 🙃

  • @Simplelife-g1o
    @Simplelife-g1o 15 วันที่ผ่านมา

    Simplelife-g1o

  • @DrSarychev
    @DrSarychev 9 หลายเดือนก่อน

    Great job! Thank you!

    • @citizensurgeon
      @citizensurgeon  9 หลายเดือนก่อน

      Absolutely! Glad you enjoyed it!