One handed surgical knot

[kandc03]

omg

[Geomanb]

perfect! the first video-tutorial that actually can be well understood

[genkishooto]

@Geomanb thank you G

[waytokhan]

i think kits single handed reef knot ...it not surgeon knot

[genkishooto]

@waytokhan go read a book

[genkishooto]

@waytokhan  I'm sorry, who are you supposed to be?

[ronin4833]

AWESOME. Nice vid.

[cptricard]

I had a question - is it possible to do a surgeon's knot (2 throws down one way then reversed next throw) with a one-handed technique? I've tried to do the first kind of throw twice in a row and it's not looking quite right. . . .

[genkishooto]

@cptricard good question... usually in surgery you are doing layered closures (running sutures), so you do not need to approximate the tissues under tension and thus do not need the surgeon's knot from the start. If you need a non-slipping knot to approximate a large wound, then a surgeon's knot may be better to use and you may want to instead use a different knot. Performing 4 to 6 throws without a surgeon's knot to start the suture will make a good knot if done properly.

[res1492]

Thats amazing!!

[medsurgery]

very nice, I pr practised it & I learned this one hand knotting. Thank you very much.

[genkishooto]

@medsurgery keep practicing

[grivello]

you can make your own 'ethibond' tie kit by pusing thumbtacks into a board and wrapping a wide rubber band around them.

[Wetlabtraining]

If you need help with suturing take a look at our videos, you might find them of interest

[jehangirshaw]

NICE !!!

[thiemogamma]

what's the song?

[genkishooto]

@thiemogamma something on youtube you can add for free: see under number of views for artist gunsolo, bathyscaphe

[xzibitskillz30]

I first watched this video when I was teaching myself how to do one hand sutures last year working in General Surgery and Neurosurgery

[genkishooto]

@xzibitskillz30 word, hope it helped

[cassdarlin21]

I really like this way muuuuch better than the way I was taught; I think its easier once you get the initial hang of it! Thanks for posting!

[tatuong]

Thank you for the excellent video. I appreciate the way you showed us each move SLOWLY and REPEATED the move, so that I could actually understand what was going on! Thanks again!!! :-)

[vena611]

Well done! Can you please provide a 2 handed surgical knot . Thanks!

[guilhermeny]

nice!



[asb87lxxxvii]

thank you very much sir.......this video boosted my confidence!!.....yes u r so right in saying .. "If you try to go too quickly at first, you will become very fast at making mistakes"...please share more such videos and help med--students (aspiring surgeons) like me....thanks again

[genkishooto]

@asb87lxxxvii now go crush your fellow students - it makes everyone better.

[xlr84XC]

Thanks a lot! Very helpful, especially without the words :-p

P.S. I know it's a bit of an unrelated question, but what's the background music you're using?

[genkishooto]

@xlr84XC thanks, words are not necessary sometime but proper repetition is. This is some music from youtube, some ambient music.

[1Point6One8]

I am a medical student and when i saw the surgeon do that , I was like, I have to know how to do this. Now i do thnx to you:D

[genkishooto]

@1Point6One8 it looks like magic at first until you break it down by steps.

[genkishooto]

Respond to this video...

[913los]

you need to change the name here I see 2 hands doing the work. The name for the knot YOU ARE DOING - is a Half hitch- Do It twice and you have a Clove Hitch on the line It is demonstrated on my channel. Very simple -also I show a one handle bowline.

[genkishooto]

@913los this is a surgical knot tutorial - not a camping class. A person of your ability and knowledge of knot tying should have some interest in this technique and perform some measure of research into the technique - and the name.

[bronzearm89]

NIce Video. Thank u so much

[bronzearm89]

NIce Video. Thank u so much

[gangyzgirl]

Thanks, this really helped me prepare for my trip to the farm tomorrow for when we will be suturing an actual horse :)

[genkishooto]

@gangyzgirl  Is the horse ok?

[gangyzgirl]

@genkishooto Yes the horse ended up fine.

[medhatromano27]

very nice

[admiteco]

its excelent video ,thak´s ,you have great skill!!

[PandyaCyte]

AWESOME VIDEO. Thank you.

[alise1610]

thanks so much. after watching so many videos, it was yours that was clear and slow-paced enough, and i finally managed to learn the knot after several replays. thanks!!

[wbmzu7]

This is how I learned, very fast and ergonomic... not creating square knots though (don't know whether that is important or not). Do it with large strings and you can see they are all the "same orientation" (not alternating). Excellent video though, very easy to follow!

[mxvixen304]

Thank You So Much. I have been unable to do this until now. I have saved this video for future reference. Great for beginners.

[oussou1000]

thanks a lot it's really great to be teached by someone like you , the sound is too nicely chosen, have nice tim

[SupperSleuths]

what song is that? I really like it. Great video. Very clear. Thanks for sharing!

[genkishooto]

@SupperSleuths, this is a song from the youtube selection when you make a video. Take care.

[hehmonkey]

Great video thanks. Working on my right handed version of this currently. What is the song in this video from?

[genkishooto]

@hehmonkey thanks for the comment, great to work both sides - and in all presentations. Sometime the suture site is not perpendicular to you...

ps. the song is a random one I chose from the site when you post a video on youtube. I will try to get the name.

[hehmonkey]

@genkishooto: Cheers! Just another quick question. For the second throw in this video, is it acceptable to catch the loop between your index and middle finger (as you did with your first throw?). I was taught this way, but have seen many variations of this on youtube. Thanks.

[hehmonkey]

@genkishooto : I am still uncertain regarding what it is meant by keeping the tension on the knot as you push it down. Are you pulling the two sides whilst pushing at the same time? I'm in the 2nd year of med school atm, and I hope to be able to tie the knots on patients next year!

[genkishooto]

@hehmonkey. The tension is from both hands. The main difference is that instead of tying the knot like you tie a shoe or a rope you push the knot down while pulling with the right hand and pushing the knot with the left (or reversed) while gathering the extra suture to maintain constant pressure. At 52 seconds you can get a clear picture of what I am trying to type... Let me know how it goes. You will be good by next year! Be sure to practice instrument ties and double handed knots too.

[hehmonkey]

@genkishooto: Thanks that makes a lot more sense now!

[MrTubeyou12345]

Thank goodness for your FANTASTIC video! I now can do a one-hand tie!!!! YAY

[genkishooto]

@MrTubeyou12345: word@

[Vyse500]

Thats interesting, I was taught in a reversed manner in which the 2nd knot was done first followed by the 1st knot. I shall research this!

[genkishooto]

@Vyse500 yes it can be done either way, it depends on how the first knot comes under and which hand it is in... so there are 4 ways of starting the knot - depending on which side of the wound you begin and which hand you are using... fun stuff...

[ZeroCool11687]

Great vid i'm not in the medical field just looking for info.

[BikerBoySpeir]

That is insane yet amazing at the same time.

[tmsveen]

why do you do the second throw first?...Normally one starts with index throw and then 'second throw' is around 3 fingers.....trying it your way with thicker rope, and never end up with correct square not finish...whereas if you do it other way around the not ends up horizontal and fixed ......comment?

[genkishooto]

@tmsveen I was as perplexed as you were as I watched the CT Docs/PAs do the second throw first. I even asked them at one point. It is fast/strong. Try it with some heavy string or dental floss. Do 6 throws and each time push down the knots and "make the knot fall" in a natural position. This will not lay nicely with thick rope, but will occur with suture. For ortho you may want to tie a surgeon's first. Feel free to start with the index finger if you like- sometimes you have too.

[genkishooto]

@tmsteven: also, during surgery we did two "2nd" throws in a row, then alternated throws from then on. Perhaps the "second throw" is done first because of the use of "pop-off" suture needles, the thought being once you take your bite and bring the needle through, then pop the needle off the suture, the end of the suture is in the direction I have it in the video (for right handers). Then you begin the throws. Wow. I cant imaging someone reading this who is unfamiliar with suture language.

[tmsveen]

@genkishooto so the actual reason surgeons seem to throw 2 throw first is because you can maitain stronger tension and keep the suture 'taut as apposed to the ethicon manual method.

[genkishooto]

@tmsveen, I think because it is faster and can be done with one hand - this is usually done after a running suture.

[seanmulhall]

Really handy knot to know. Thanks. Now im off to practice.

[genkishooto]

@seanmulhall thank you Sean. Keep in touch.

[StudyWithSubstanceP]

Never could get the hang of this technique... Where did you pick it up?

[genkishooto]

Substance P, initially in school, then I worked it out prior to a specific rotation.

[StudyWithSubstanceP]

Cool. Are you surgically inclined careerwise?

[genkishooto]

@ StudyWithSubstanceP not sure about surgery, like to make a dx.

[StudyWithSubstanceP]

Fo' sho. Me too. I'm all about the diagnosis. Don't get me wrong: surgery is pretty awesome too. It's just not for me.

[genkishooto]

@StudyWithSubstanceP Pimp-igus vulgaris. By the way saw three documented Ehlers Danlos within 6 days and one Charcot Marie Tooth. Great Ortho rotation.