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Table of Contents

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that will take you to the main index that 'scissors' is organized under (i.e. Surgical
Equipment).

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1. Equipment
• Scissors
• Forceps
• Dressing and Tissue Forceps
• Hemostats and Hemostatic Forceps
• Intestinal Forceps
• Needle Holders
• Retractors
• Hand Held Retractors
• Self Retraining Retractors
• Scalpels
  • Blades
  
  
• Towel Clamps
• Proper Instrument Handling
2. Preparing The Equipment For Surgery
• Sterilization Techniques
• Steam
• Ethylene Oxide
• Cold
• Radiation and Filtration
• Plasma Gas
• Selecting And Packaging Gowns
• Disposable v.s. Linen Gowns
• Wrap Around v.s. Front Sterile Gowns
• Folding Of A Gown For Sterilization
3. Preparing The Patient For Surgery
• Skin Preparation
• Large Animal
• Small Animal
• Selection Of Appropriate Antiseptic
• Drapes
• Four Corner Draping
• Equine Orthopedic Draping
4. Preparing The Surgeon For Surgery
• Cap And Mask
• Preparation For Surgical Scrub
• Surgical Scrub
• Selection Of Appropriate Antiseptic and Brushes
• Scrub Technique
• Gowning
• Hand Towel
• Donning and Tying
• Gloving
• Selecting Proper Size
• Closed Gloving Technique
• Open Gloving Technique
• Techniques For Changing Gloves During A Surgery
5. Sutures And Suture Handling
• Tying Ligatures And Sutures
• Square Knot
• Two Hand Technique
• One Hand Technique
• Surgeon`s Knot
• Deep Tie
• Ligation Around A Hemostatic Clamp
• Instrument Tie
• Properties of Suture Materials
• Plain Catgut
• Chromic Catgut
• Polyglycolic Acid
• Polydioxanone
• Silk
• Braided Polyester
• Stainless Steel
• Polypropylene
• Sizes of Suture Materials
• Suture Patterns
• Interrupted Suture Patterns
• Continuous Suture Patterns
• Skin Staples
• List Of Required Knots For The Practical
6. Supplemental Reading
7. Links
   
     

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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