bu.edu

  From the pages of boston Universtiy

Orientation to the OR - A video tour of the Menino Pavilion OR for students. You need to understand the difference between restricted, semi-restricted, and unrestricted areas. (8:50)	Basic Knot Tying & Suturing -A series of pages with both still and streaming video demonstrations of basic knot tying (two-handed tie, one-handed tie, instrument tie) and basic suturing techniques (simple interrupted, vertical mattress, simple running).
Scrubbing for the OR Two short videos for students on how to scrub, gown and glove for the OR. 	A Safe Method for Anchoring Central Venous Lines - Rie Aihara, M.D., Carol Sulis, M.D., Wayne LaMorte, M.D., Erwin Hirsch, M.D.
Sharps Safety in the Operating Room - A 12 minute video written and produced by George Putnam (AAM Media Labs) and Ellen Lones (Boston Medical Center).	Hand-sewn Small Bowel Anastomosis - Fred Millham, M.D. and Wayne LaMorte, M.D.

You can find all the videos for download here ;
 Incision.rm             01-Feb-2006 11:07   5.7M 
 Intro to Surgical An..> 01-Feb-2006 11:07   1.4M 
 Kocher Maneuver.rm      01-Feb-2006 11:07   4.7M 
 Lancets.rm              14-Jul-2003 15:40   7.9M 
 Liver Mobilization.rm   01-Feb-2006 11:08   6.6M 
 Median Sternotomy.rm    01-Feb-2006 11:08   3.4M 
 Mobilization of Righ..> 01-Feb-2006 11:08   9.3M 
 Mobilize Spleen Panc..> 01-Feb-2006 11:08  12.5M 
 OR Orientation.rm       01-Feb-2006 11:09  33.1M 
 OR Sharps Safety.rm     31-Jul-2002 17:10  44.3M 
 Packing.rm              01-Feb-2006 11:16   1.8M 
 Part 1 Scrubbing for..> 01-Feb-2006 11:17  50.0M 
 Part 2 Gowning and G..> 01-Feb-2006 11:19  46.5M 
 Part 3 Scrubbing Out..> 01-Feb-2006 11:19   5.3M 
 Pringle Maneuver.rm     01-Feb-2006 11:19   4.1M 
 Review Kocher Pringl..> 01-Feb-2006 11:19   6.7M 
 SBAnast.rm              01-Feb-2006 11:20  51.5M 
 SPH2.rm                 25-Jun-2003 14:04  31.2M 
 SPH3.rm                 10-Jul-2003 08:34  30.0M 
 Vena Cava Exposure.rm   01-Feb-2006 11:24   3.5M 
 Wing set collection.rm  14-Jul-2003 15:40   6.1M 
 deepinterrupted.rm      01-Feb-2006 11:07   2.4M 
 instrumenthandling.rm   01-Feb-2006 11:07   1.9M 
 instrumenttie.rm        01-Feb-2006 11:07   1.9M 
 loadholder.rm           01-Feb-2006 11:08   1.3M 
 mousehandling.rm        31-Jul-2002 17:11   1.5M 
 onehandtie.rm           01-Feb-2006 11:09   2.2M 
 rabbithandling1.rm      31-Jul-2002 17:11   1.5M 
 rabbithandling2.rm      31-Jul-2002 17:11   975k 
 rathandling1.rm         31-Jul-2002 17:11   843k 
 rathandling2.rm         31-Jul-2002 17:12   1.6M 
 simpleinterrupted.rm    01-Feb-2006 11:21   9.1M 
 surgeonsknot.rm         01-Feb-2006 11:22   7.5M 
 sutureremoval.rm        01-Feb-2006 11:23   817k 
 twohandtie.rm           01-Feb-2006 11:24  11.7M 
 verticalmattress.rm     01-Feb-2006 11:24   3.3M 

SSA Surgical Knot Tying Tutorial

univ of californica , irvine

sugical techniques

 Grasping
a needle driver

 Loading
a needle driver

 Instrument
Tie

 Two
Handed Tie

 One
Handed Tie

 Interrupted
Sutures

 Vertical
Mattress Suture

 Horizontal
Mattress Suture

 Running
Suture

 Subcutaneous
Suture

Sutures and Suture handling

Tying Ligatures and Sutures

• Square Knot
• Surgeon's Knot
• Deep Tie
• Ligation Around a Hemostatic Clamp
• Instrument Tie

VCS 511 General Surgery Laboratory

VCS 511 General Surgery
Laboratory

 Use
your browser's "Back" command to return to this page after viewing
each video

Demonstration Videos:

 

Hand Ties

Two-handed
tie (right-handed surgeon)

One-handed
tie (right-handed surgeon)

Two-handed
tie (left-handed surgeon)

One-handed
tie (left-handed surgeon)

 

All of the following
demonstrations show a right-handed surgeon

 

Using the scalpel

Loading
the scalpel blade

Pencil grip

Finger-tip
grip

Incising using
the finger-tip grip

 

Loading the needle holder for a right-handed
surgeon

Correct
grasp of needle

Incorrect
grasp of needle

 

Suture Patterns and Instrument Ties

Simple interrupted
suture with 2 square knots

Simple interrupted
suture with a slip knot

Surgeon’s
throw

Simple continuous
suture beginning with a surgeon’s knot

Cruciate suture

Horizontal
mattress suture

Vertical mattress
suture

Ford interlocking
suture beginning with a surgeon’s knot

Simple
interrupted sutures with a buried knots

Simple
continuous suture with buried knots

Note that when finishing
the suture, the loop and the free end of suture that you will tie together
must be on the same side of the last suture crossing the wound in order for
the knot to bury.

Continuous
Lembert suture

Continuous
Cushing suture

An alternate method of
finishing the Cushing suture is to finish it as a Lembert (as it was started).
For the last suture, reverse the needle and place a Lembert suture across
the incision. You then tie the loop that is on one side of the incision to
the free end of the suture that is on the other end of the incision.

Continuous
Connell suture

An alternate method of
finishing the Connell suture is to finish it as a Lembert (as it was started).
For the last suture, reverse the needle and place a Lembert suture across
the incision. You then tie the loop that is on one side of the incision to
the free end of the suture that is on the other end of the incision.

its a pdf not a video but is good enough for this site

PDF]

BASIC KNOTS

File Format: PDF/Adobe Acrobat - View as HTML surgical circumstance and the experience of the surgeon. An important part of good suturing technique is correct method in knot tying. A seesaw ... www.ruralareavet.org/PDF/Surgery-Knot_Tying.pdf

Basic Suturing Teaching Modules include:

BASIC SUTURING

 - Created by: B. McCraw,
J. Caudle, J. Chenkin & K. Sampsel,
Technical Skills Program,
EM Technical Skills Lab, Department of Emergency Medicine, School of Medicine, Faculty of Health Sciences,
Queen's University, Kingston, Ontario, Canada


Multimedia Clinical Skills & Clinical Procedures: Basic Suturing
Teaching Modules (Text, Images, Videos/Movies & Audio/Sound).
 Modules include:

"...Introduction; Equipment Tray; Suturing Steps; Knot Tying; etc..."

Video Instruction of Procedures in the Emergency Room (VIPER): Wound Closure

iROCKET Learning Module: Project VIPER: Wound Closure

Filmed and produced by

• Michelle Lin, MD FACEP FAAEM
• Justin Wilkinson, BA

For any questions or comments, please contact Dr. Michelle Lin at mlin@sfghed.ucsf.edu.

All
of the following links are to RealVideo clips; you must have RealPlayer
installed to view them. (Click the link to download the free version of
RealPlayer on the download page.)

1. Equipment (1:54)
2. Anesthesia (3:09)
3. Irrigation (1:11)
4. Starting the Procedure (2:30)
5. Simple Interrupted Suture (3:45)
6. Horizontal Mattress (3:11)
7. Vertical Mattress (1:10)
8. Corner Suture (1:30)
9. Buried Suture (1:51)
10. Dermabond (1:56)
11. Steristrip (0:39)
12. Staples (0:47)

Knot Tying and Suturing

Two Hand Tie 	 
One Hand Tie	 
Instrument Tie	 
Simple interrupted stitch	 
Vertical mattress stitch