Suturing Guide by a Surgeon

Introduction

• Overview of a suturing tutorial series.
• Thanks to Medical Creations for sponsoring the video and providing the suture kit.

Suture Kit Contents

• Tools included:
  • Forceps (Adson's)
  • Needle driver
  • Scalpel
  • Hemostat
  • Scissors
• Suture materials and practice pad:
  • Traditional and new style pads.

Preparing to Suture

• Needle Placement:
  • Attach needle at about a 90-degree angle on the needle driver.
  • Slight forward angle may be used for better triangulation.
• Holding the Needle Driver:
  • Use thumb and ring finger, or palm the driver for more dexterity.
• Forceps Usage:
  • Use toothed forceps specifically designed for skin.

Suturing Technique

• Initial Needle Insertion:
  • Ensure a steady grip with fingers close to the tip of the needle driver.
  • Insert needle at 90 degrees to the skin.
  • Use two bites to close incision.
• Needle Handling:
  • Pull out slightly to reposition for the next bite.
  • Hold the tissue with forceps, not the needle.
  • Ensure the needle remains stable in tissue.

Suture Knotting

• Managing Suture Length:
  • Keep minimal suture length to avoid sterility issues.
  • Use forceps to manage suture position.
• Knot Tying:
  • For initial wrap, create a large loop to prevent entanglement.
  • Secure the suture with a square knot.
  • Ensure not to strangulate the tissue.

Advanced Suturing

• Figure Eight Suture Technique:
  • Used for ligating blood vessels or larger incisions.
  • Create an eight-like stitch pattern.
• Safety Tips:
  • Minimize needle handling to avoid injuries.
  • Set the needle for easy pick-up between bites.

Conclusion

• Practice different suturing techniques at home.
• Future videos will cover hand tying and different suture types.

Call to Action

• Subscribe, like, share, and comment on the video.
• Look out for more instructional videos in the series.