This is super helpful! My prof's explanation on how to tie didn't make sense to me after 2 hours of trying in lab, so I watched both your videos on the one handed and two handed ties and practiced exactly how it's shown here. Today my prof observed my lab's tying skills and said that out of everyone in my group, I tied my knots in the most "textbook" way, which to me is a win! It took me probably 30ish minutes to learn them and be able to do them after watching your 2 videos. Your videos are slow, clear, and concise without using confusing metaphors that fail to tell me what to actually do with each finger/hand. Thanks so much!
After watching this video and practicing for about 30 mins I feel VERY confident with my two hand tying! Thank you!!! I plan on practicing a lot more to get this down to muscle memory.
Alice Eleonor this is about assistant because their hands are free sometimes they should do that at first and end of sutures ,but surgeons use one hand most of times
@@emiliakruk1969 sometimes you need to tie two handed if you need to maintain tension in the suture as you're actively tying. For example, if you're approximating two points that are spaced apart and have to overcome some degree of tension to avoid slipping away from each other before securing multiple throws in a knot. Think about closing deep dermis after a large excision which would have a tendency to pull apart as you're tying unless you keep the suture under tension
So same, opposite, opposite. The finger (say thumb) that you anchor on is the SAME finger you will use to push the string to the side OPPOSITE the finger (towards index finger). Then you pull the string to the OPPOSITE side you pushed it to (back towards thumb).
But what happened to that sharp needle and the needle driver? Just dangling over there? Surgeon still holding it and the assistant is tying? Lots of suture material with cooperating surgeon giving you a LOT of slack? I like it for tying ligatures with material that isn't very slippery and not too deep.
A great way to stick yourself during a two-handed tie is to leave the needle attached to the needle driver. Or to place more than 1 set of hands on the suture - is that even a thing? Anyway that's beside the point because this is an INTRODUCTORY video on the mechanics of knot tying.
@@dr.omedary8170 And it was a very good one. Needle retained on needle driver = one handed, non-dominant hand knot. Monofilament and other slippery material for me = initial one-handed granny to adjust tension and control slippage followed by a third square throw...often a 4th...also square.
@@dr.omedary8170 If you were placing a running suture pattern and had an assistant, might you not begin with the assistant tying the first knot, trimming the end and displacing the excess material from the site to facilitate the continuation of the running closure? Then 4 hands would be (carefully) working and needle controlled.
I can hear my professor saying "don't cross your hands". I've tied so many scores of thousands of knots that, when I slow down to show someone the steps, it's actually more difficult to do! There are situations and types of suture material where "granny" knots are initially useful but are always "locked" with a square throw.
This is super helpful! My prof's explanation on how to tie didn't make sense to me after 2 hours of trying in lab, so I watched both your videos on the one handed and two handed ties and practiced exactly how it's shown here. Today my prof observed my lab's tying skills and said that out of everyone in my group, I tied my knots in the most "textbook" way, which to me is a win! It took me probably 30ish minutes to learn them and be able to do them after watching your 2 videos. Your videos are slow, clear, and concise without using confusing metaphors that fail to tell me what to actually do with each finger/hand. Thanks so much!
You explained in 7 minutes what I couldn’t understand in a 2 hour lab😭 thank you!!!!
By FAR the EASIEST knot tying video I've ever seen. Will be sharing this with all medical students who rotate with me! Thank you SO MUCH!!!!!!!!!!
appreciate it bro. I'm on my surgery rotation (that i can't wait to end) and i needed this info.
Thank you! 🙌🏻 Surgery rotation starts Monday and this was an incredibly helpful refresher
Are you an attending now?
Awesome video, i watched this during a lecture with the sound off and completely understood what as going on. Thanks for sharing.
Will Roberts change your profile picture douche
true
Super helpful, I like your technique where you don't cross strings/hands!
Best and easiest explanation ever. Keep up with the good work.
Thank you!! Really great explanation including how to apply when in the OR. Love that I don't have to worry about crossing strings!
After watching this video and practicing for about 30 mins I feel VERY confident with my two hand tying! Thank you!!! I plan on practicing a lot more to get this down to muscle memory.
This was AWESOME!!! Thank you so much! I feel so much better about suturering in surgery today!
My favorite knot tying videos for sure.
This video demonstration is the best.Thanks a lot.
Dr. Omedary, like dromedary, like a camel? Awesome video. I'm a family medicine intern and I'm on my OB rotation, this video was so helpful!
wow thank you! I was very confused by my attending's method but this is very clear and helpful!
Great video! This caught my eye because I have some videos just like this! Thanks for sharing your skills.
Thank you! Still just as helpful in 2020!
Awesome video, this really helped me. The pistol grip really makes sense to me.
You are helping humanity brother. Thank you
Very clear, very explanatory and great video..!!!
I love it, thank you - surgery starts in a week lol
Thank you so much. You've helped me with the one handed technique; now to master this technique.... thanks again!! Cheers! Subscribing
2:40 This was awesome!! Thank you!! Super helpful!! 2400!!!!!!!!
thank you, using this to try a new technique for tying my pointe shoe ribbon with a knot that won't slip
I love your channel sir.........i see these videos as a great favour to me n other students.
Thank you very much .
very good. please upload more surgical skill videos
Where is the needle driver at the time that this is being tied? I love this video btw!
Excellent video, great explanation and simple for beginners
natural teacher.
Wow excellent directions! Thank you so much!
You Made It Very Easy For Me .. Thanks Alot 🙂
Question - when do you use the two-handed knot and when the one-handed knot? How do you decide which one you tie?
Alice Eleonor this is about assistant because their hands are free sometimes they should do that at first and end of sutures ,but surgeons use one hand most of times
One hand is better for deeper places, two hand if used, is most likely used for superficial regions.
Steven Bean But do I have to learn two-handed if I’ve already learned one-handed?
@@emiliakruk1969 sometimes you need to tie two handed if you need to maintain tension in the suture as you're actively tying. For example, if you're approximating two points that are spaced apart and have to overcome some degree of tension to avoid slipping away from each other before securing multiple throws in a knot. Think about closing deep dermis after a large excision which would have a tendency to pull apart as you're tying unless you keep the suture under tension
)
When I do a subcu, the needle ends up in the right hand. Do u recommend crossing that into the left and then start tying
really helpful for beginners
thank you very much. easy to do and easy to understand :)
finally i can make beautiful knots! thanks a lot
Amazing, thanks
Thanks for sharing
great job
Great vid thank you
Do you still to do the surgeon's knot on the first one?
Hi，Thank you for teaching！ Is this square knot for surgical knot？
Marvelous
Very clear thank you!!
Following instruction perfectly but my knot seems to look different . Perhaps the different material and colors are playing a trick on me.
❤❤❤wow
thank you very much very clear and helpful
So this is a square knot correct? Can we modify this to make a surgeon's knot?
Is the margin same on both sides or is it just like the intrument tie?
So same, opposite, opposite. The finger (say thumb) that you anchor on is the SAME finger you will use to push the string to the side OPPOSITE the finger (towards index finger). Then you pull the string to the OPPOSITE side you pushed it to (back towards thumb).
I mean square knot or surgeon‘s knot？
where can i buy this practice string?
Actually surgical silk is not that big.
I recommend you to buy true-sized ones for practicing. It's way more challenging and fun.
But what happened to that sharp needle and the needle driver? Just dangling over there? Surgeon still holding it and the assistant is tying? Lots of suture material with cooperating surgeon giving you a LOT of slack? I like it for tying ligatures with material that isn't very slippery and not too deep.
A great way to stick yourself during a two-handed tie is to leave the needle attached to the needle driver. Or to place more than 1 set of hands on the suture - is that even a thing? Anyway that's beside the point because this is an INTRODUCTORY video on the mechanics of knot tying.
@@dr.omedary8170 And it was a very good one.
Needle retained on needle driver = one handed, non-dominant hand knot. Monofilament and other slippery material for me = initial one-handed granny to adjust tension and control slippage followed by a third square throw...often a 4th...also square.
@@dr.omedary8170 If you were placing a running suture pattern and had an assistant, might you not begin with the assistant tying the first knot, trimming the end and displacing the excess material from the site to facilitate the continuation of the running closure? Then 4 hands would be (carefully) working and needle controlled.
Excuse me where i can buy this tool for practice my suture techinques?
Thank you!
Is this the guy from the casually explained videos? Loll. But seriously, great tutorial
Thank you!!!
thank you very much!
I can hear my professor saying "don't cross your hands". I've tied so many scores of thousands of knots that, when I slow down to show someone the steps, it's actually more difficult to do! There are situations and types of suture material where "granny" knots are initially useful but are always "locked" with a square throw.
Thanks
U are using magic my hands hurts me its so difficult
if its for right handed people, why are you using your left hand to tie everything?
I wanna be a surgeon
2:17
This is still so confusing to me...
❤
Why in hell do youtube videos constantly play with no sound!?
All this technique for what most people do naturally.
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Where can I buy that practice board?
thank you!
Thank you!!!
2:40