Surgical Knot Tying - One Hand

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Uploaded by on Oct 21, 2009

How to tie surgical knots with one hand. Proper technique, as well as some common errors.

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Education

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Standard YouTube License

  • likes, 3 dislikes

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Uploader Comments (danielfarkasmd)

  • @DPerry311 Good point - and I actually do the exact same thing in practice. (I was more focused on demonstrating the technique of alternating here - which is still necessary at some point.) I'll "granny" the first two throws, and then begin alternating. Usually two more throws, but more for monofilaments.

  • @danielfarkasmd Trying to prevent air knots on deep ties-- Throw the same throw twice then alternate? That will hold under tension?

  • @fsuruth I believe so. The first two let it to slide down, and the alternating ones will lock it in place.

  • wow! absolutely beautiful! this guy is an artist. unfortunately the video isn't any good to learn with because it's waaay too fast, but if you're competent, this will give you some pointers to clean it up with. thanks for the great vid!

  • @loytube1 thanks for the feedback. did you stay past 1:12 where it's slowed down? (Or is that still too fast?)

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All Comments (14)

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  • One thing bothers me...how often do you have the wound staring at you vertically in major surgeries? Very rarely from my experience. And yet most demos around youtube depict it that way. Next thing you know someone might saddle the patient trying to tie those knots.

  • dude, do it slowlier. u kinda lost me

  • very useful tnx

  • it looks easy to catch, but the demonstration is too fast. although this is compensated for by the repeated throws upon throws.

  • if you do alternating knots then you are throwing air knots and they will not lay flat and not secure, especially using monofilament like pds.... cross strings, two throws in the same direction then throw the opposite direction throw...thats how we do it at UAB in cardiovascular surgery

  • You are using 2 hands dislike

  • @danielfarkasmd Its missing everything but the use of one hand, I would like to see this done with one hand, for instance if you had to stitch your hand

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