Hey thanks for the explanation. I'm interested in the very first knot you tied. Where you loop the thread around your clamp and then pull the other end. We tried doing that today but couldn't so we resorted to doing a triple reef knot by hand. But as our surgeon showed us, its much faster to use the looping around the clamp and pulling. Can you please maybe show in slow-mo how to do it? That'd be great, thanks. I haven't yet found a video that explains that in detail. We're not doctors; we're neuroscientists who do surgery to implant chronic electrodes in animals.
Thanks for your comment. The knot is sometimes called an Aberdeen Hitch. You can Google it for more instructions on how to tie it. Perhaps in the future we will feature it in a video ourselves. Of course, it is fine to end this running stitch with a simple instrument tie. But because you are tying one strand to a loop (which has two strands), the knot you form will be composed of three strands. This is a bulkier knot than an Aberdeen hitch by 50%. It may not make a difference, but some surgeons may argue that the bulkier knot has a higher chance of forming a suture abscess/granuloma, or spitting out from the wound.
Beautiful....almost as good as the fly tiers. Great set of hands and a great running stich !!! Love the closeout knots and starting procedure !!! EXcellent !!!!!
Thanks for teaching the running suture. My surgeon left the knot coming out of my wound. I had a temporal artery biopsy . Anyways, now its hurting. I am sure its a running suture. Wound won't close because there is a knot sticking out.
Thanks for the video. And for all of you haters, the simulation pad is not real skin and is harder to make it beautiful, so chill! Btw if you are watching this video then you probably are not master surgeons. Rather than hating make your own channel and take time to make educational videos!
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Can u please explain the tighten knot the last one were u pulled through the loop i cant perfect it and it always comes to tigthening a loop then cut it can u please further explain the technique im a E.R doctor and i encounter a lot of cosmetic suturing where i live thanks in advance
Great video, Dr Forte! I recently found your channel and podcast; good stuff. My channel has similar content, including a video about Subcuticular Running Suturing like this. Keep up the great work, Dr Forte!
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Beautifully sutured.....i wanna ask like in what types of wound this stitching could be applied???can it be done in episiotomy repair ing (skin layer)???
These would be stitches that will not removed, correct? They will dissolve, whatever you call it, yes? Can you do this procedure on a shin with deep laceration?
I used to use this as part of a trychophytic closure but found that there was too much dead space Eventually went to an interrupted vertical mattress suture with a trychophytic superficial closure.
I would have buried the "anchoring" knot much deeper. Also, the Aberdeen knot at the end is a little more bulky than is necessary, but it's a minor point.
By burying the first knot I mean that I would have completely inverted the anchoring suture knot rather deeply. Then pass the needle up to the apex of the incision and begin the closure as usual. Braided materials should not be used.
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As is mentioned at 0:39, fast absorbing sutures such as monocryl / caprosyn (poliglecaprone sutures) are the most common suture used. It is worth noting that you can perform this technique with slight modifications using permanent monofilament such as prolene which does require removal afterward - instead of tying a knot at beginning of the incision you pass the needle through intact skin and out the apex of the incision, perform the suturing as shown, then at the end of the incision pass the needle through the other apex and out intact skin. The suture ends are left long and taped to the skin, the incision often supported by skin adhesive such as dermabond or steri strips. The suture is then removed by cutting one end at the suture at the skin and pulling on the other end.
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This video is for student learning. In practice, tweezers grabbing the skin should be minimal for the best possible wound healing. A wound on the skin of the abdomen will suffer any bullying))
@@drdipin You can actually, except you dont bury the suture on the upper end, you let the end of the suture outside, kindly traction to level pressure and wound approximation among both ends and knot each it in its own base on the outside. That way, when it needs to be removed, you cut below knot on one side, and kindly traction from the other side. Thats why the method shown in this video has its advantages.
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Hey thanks for the explanation. I'm interested in the very first knot you tied. Where you loop the thread around your clamp and then pull the other end. We tried doing that today but couldn't so we resorted to doing a triple reef knot by hand. But as our surgeon showed us, its much faster to use the looping around the clamp and pulling. Can you please maybe show in slow-mo how to do it? That'd be great, thanks. I haven't yet found a video that explains that in detail. We're not doctors; we're neuroscientists who do surgery to implant chronic electrodes in animals.
Thanks for your comment. The knot is sometimes called an Aberdeen Hitch. You can Google it for more instructions on how to tie it. Perhaps in the future we will feature it in a video ourselves. Of course, it is fine to end this running stitch with a simple instrument tie. But because you are tying one strand to a loop (which has two strands), the knot you form will be composed of three strands. This is a bulkier knot than an Aberdeen hitch by 50%. It may not make a difference, but some surgeons may argue that the bulkier knot has a higher chance of forming a suture abscess/granuloma, or spitting out from the wound.
@@behindtheknifethesurgerypo4986 Great thank you so much for this explanation. Waiting for the video :). You guys do an amazing job!
My stitches like same your video but I ask if I will cut it after you stitches or I will leave it
Jfj
TV r9r
That looks perfect! Excellent explanation. A lot better than most of the surgeons I train with :) Thank you!
Hopefully that isn't really the case.
Maybe he just meant the explanation is much better, not the execution of the technique. That would be indeed terrible...
@@wholeNwonthey meant the explanation
best presentation i've watched so far good job and thanks for takin the time.
Beautiful....almost as good as the fly tiers. Great set of hands and a great running stich !!! Love the closeout knots and starting procedure !!! EXcellent !!!!!
This was how my belly was stiched up 3 years ago, was quite amazed at the neat job that was done - I was expecting train tracks!
Thanks for teaching the running suture. My surgeon left the knot coming out of my wound. I had a temporal artery biopsy . Anyways, now its hurting. I am sure its a running suture. Wound won't close because there is a knot sticking out.
Wow... first time seeing this procedure. Explained so well and easy to follow. Thanks.
That was just beautiful. At 1st I was skeptical about this technique, but now I know.
That ending closure seems so much easier than a lot of other techniques.
This was amazing (uk student) and I haven’t seen such nearly placed stitches!!
I got no idea what I just watched or how I ended up here but looks cool.
Hola como estas
Exactly how the sutures on my stomach look right now! Thanks for the informative video!
Thanks for the video. And for all of you haters, the simulation pad is not real skin and is harder to make it beautiful, so chill! Btw if you are watching this video then you probably are not master surgeons. Rather than hating make your own channel and take time to make educational videos!
NEW STUNNING VIDEO ON RUNNING SUBCUTICULAR SUTURE (INTRADERMAL SUTURE): TIPS AND TRICKS: ua-cam.com/video/gQkvz-aJa10/v-deo.html
this is the kind of video you watch at 3am
😨😧
I'm watching at 331 am
Deja vu
Truly. Watching at 4 am 😂😂
I'm watching this at 3:48 AM! You caught me 😂
Awesome vid. Simple & easy to follow. Thank you from Papua New Guinea🇵🇬
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I love the way you anchor the suture as well, the instrument tie(s) are best
Can u please explain the tighten knot the last one were u pulled through the loop i cant perfect it and it always comes to tigthening a loop then cut it can u please further explain the technique im a E.R doctor and i encounter a lot of cosmetic suturing where i live thanks in advance
Great instructions. Easy to follow for anyone
Good to share the knowledge with others...👍
No comment ça va bien jouée 😍😍😍😍
I too use this technique to close the wound...gives very cosmetic result... thanks for demonstration.👍
Thank you so much. This video is very easy to grasp
Great video, Dr Forte! I recently found your channel and podcast; good stuff. My channel has similar content, including a video about Subcuticular Running Suturing like this. Keep up the great work, Dr Forte!
Oio😇😂
is this nonabsorbable suture ??
Amazing insha allah i will practice this one
Thank you so much, just before theatre
that was beautiful! awesome!!
Nice job, doctor!
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Beautifully sutured.....i wanna ask like in what types of wound this stitching could be applied???can it be done in episiotomy repair ing (skin layer)???
Why the hell did i get this on my recs?!?!?!?
2:35 that way your patient can have awesome Frankenstein scars
in real life its very tough to identify the dermo-epidermal junction
I love this video. Very interesting suture technique.
great video!
awesome video
but aren't sutures little bit wide ??!
I apply stitches closer than this.
These would be stitches that will not removed, correct? They will dissolve, whatever you call it, yes?
Can you do this procedure on a shin with deep laceration?
شلون راح يقتح خيط بعد شفاء الجرح
I used to use this as part of a trychophytic closure but found that there was too much dead space Eventually went to an interrupted vertical mattress suture with a trychophytic superficial closure.
Very good tutorial and clean look.
I would have buried the "anchoring" knot much deeper. Also, the Aberdeen knot at the end is a little more bulky than is necessary, but it's a minor point.
By burying the first knot I mean that I would have completely inverted the anchoring suture knot rather deeply. Then pass the needle up to the apex of the incision and begin the closure as usual. Braided materials should not be used.
It's a very clear and.....and easy procedure......
This was beautiful thankyou so much. 😍
Which suture material us used??
How do you pulling off the sutures after the wound heeling?
typically you would use absorbable sutures for this technique! if you use nonabsorbable, i'm sure you'd essentially open up the wound again haha
@@kareenakapoor1320 thanx broo
Perfect, thank you, I was looking for this kind of suture.
Grabbing that free end - swag
what thread is this using?
The beginning is a little fast. I had to watch it three times, but overall this is a good example.
Thanku very much...nicely demonstrated
Thanks!
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That's exactly how Rambo did it!
My imagination gone wild with blood and gore as he pierced the needle and repeat
NO BLOOD,GOOD.
COOL!! How you take them off? Or you don't
I like this way no marks to be left
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Beautiful work 👍
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
I'm subbed, but I thought the Doc would give us an inside look at how to be the BTK killer :(
I'm very much interested on your technique
Perfect video
Very well demonstrated 👌👌
The first knot you make should be out of the incision, no inside. You can do it out of the wound.
Nice
Exactly. It should be well-buried and inverted.
Nice video for suture pattern.
Why don't you go across?? Seems like you'd want to go direct across to minimize the skin miss matching...
Wow , clean work
I wonder how to remover the suture? Or in this type we have to use absorbable thread ?
As is mentioned at 0:39, fast absorbing sutures such as monocryl / caprosyn (poliglecaprone sutures) are the most common suture used. It is worth noting that you can perform this technique with slight modifications using permanent monofilament such as prolene which does require removal afterward - instead of tying a knot at beginning of the incision you pass the needle through intact skin and out the apex of the incision, perform the suturing as shown, then at the end of the incision pass the needle through the other apex and out intact skin. The suture ends are left long and taped to the skin, the incision often supported by skin adhesive such as dermabond or steri strips. The suture is then removed by cutting one end at the suture at the skin and pulling on the other end.
thank you for your video and your reply :)))
Absorbable
If deep cut at velly area so suturing can be done internally so any difficulty or problem to streching or moments
Very good video, thank you very much for author
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
لقد شاهدت أكثر من فيديو عن هذا الأمر وفي كل فيديو هناك طريقة مختلفة عن الأخرى 🤔
بس هل طريقه كلش حلو
@@nri2726 بالطبع لا يذوب ولو كان كذلك لن يستخدموه في العمليات الجراحية
أعتقد أن هذا النوع فقط مخصص للعمليات الجراحية
@@nri2726 أكيد absorbable لأنه لا يمكن استخراجه بعد التئام الجرح
@@nri2726 مو الخيوط اكو منها لحمي ..وفي منها خيط من النايلون لان يلتحم مع العملية يجب رفعه بعد الشفاء .والتأم الجرح ..ماشي
@@توتهتوته-ب4ض8ر هاي عملية خياطة مخفي مثل التجميل
Hi.
Respectable . Sir.
You use for stiching . Silk . Or . Catgut . Pls convence me
perfection.. many thanks
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Do you remove the thread or it turns into the body?
they usually use absorbable sutures which will eventually dissolve in the body so no need to get them removed
Good work.. Sir
That's perfect technic
But how you remove the suture after healing 🙄🤔
This is an absorbable suture type (monocryl) - the skin will break it down and it will not need to be removed.
pretty creepy they chose to brand as "btk" though
I know its just a fake skar but it still looks disgusting! btw that looks perfect!!
If i use that technique, so i must use absorable cutgut, right?
Hocam efsane diktiniz vala hayran hayran izledim
Aynen, aynısı bende de oldu :)
Sir ,face surgery ke baad stitching ka mark permanant rahata kay ?
Very nice video.
If l am not wrongly.. l think that is difficult to remove them after
خياطة جيدة بخط واحد، ولا تغير في تجميل الجلد
خيط كيف سيستخرج بعد شفاء جرح
نفس السؤال 🤔
الخيط مش بيستخرج المفروض انه apsorpable
اكون خيط من النوع اللي بدوب مع اللحم حسب نوع الخيط
Thank you very much, prefect 👏🏼👍🏼🙏🏼
cable tie suture are the best.
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Dear dr, are you using an absorbable suture? If not, how will you remove this stitch after the wound has healed?
Absorbable monofilament.
How to remove the stitch? And how if not remove is not danger?
very informative great content
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
This video is for student learning. In practice, tweezers grabbing the skin should be minimal for the best possible wound healing. A wound on the skin of the abdomen will suffer any bullying))
very well explained, thank you so much for this video..
l use only nylon sture but why do you think it opens?
Great.. do u have a video for purse string suture?
Sir, may I know the medicine that can destroy stitch without cut🔪🔪
Imagine the surgeon watches this while he's doing the surgery.
How to take off the suture when it heal??might invisible right~🤔
there is 2 types of sutures ..
absorbable & non absorbable
we use the absorbable one for this kind of suturing ..
the other needs to be romved
@@alfarist4876 nonabsorbable cant use in this type right?
@@drdipin right
@@drdipin You can actually, except you dont bury the suture on the upper end, you let the end of the suture outside, kindly traction to level pressure and wound approximation among both ends and knot each it in its own base on the outside. That way, when it needs to be removed, you cut below knot on one side, and kindly traction from the other side. Thats why the method shown in this video has its advantages.
Thank you so much and God bless u
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@@retinasurgical4203 is it pain
@@vanlalsangivanlalsangi2094 hello sir
Wow wonderful job ,but I wish to be doctor 🖤🖤💔
What type of sutures?
Vicryl or Prolene ?
Monocryl
Thank you tactor
Hello everyone out there. Dr Aigbomian Herbal Medicine is a good remedy for Herpes Virus , I was a carrier of Hiv and I saw a testimony on how Dr Aigbomian cure Hiv Virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 2 weeks before asking me to go for a check up and getting there i could not believe that i was confirm Hiv Negative after the test,Today i am so happy because i’m free from hiv disease with the help of Dr Aigbomian Thank God now everything is fine, I’m cured by Dr Aigbomian herbal medicine, I’m very thankful to God for making it possible. you can reach him on his email, i strongly recommend him to any one out here looking for a cure . drfriday234@gmail.com or call/whatsapp +2348070861121👇👇👇👇👇👇👇free.facebook.com/Doctor-standingfriday-108889861023894/?ref=opera_speed_dial
Perfect work
If I show you what they done to my son. You may cray😂😂😂
where i can order the artificial skin model?
try amazon
Excellent skill