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surgical knots
- Thread starter RedSHIFT
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6
63768
5-throw square knot is the gold standard for openly tied knots. start there. i've learned to a sliding knot and a bunch of arthroscopic knots as well, but i'd suggest learning the square knot and being able to tie it in your sleep.
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lol, i've already ran through all my dad's sutures. I guess i ll have to raid his house tomorrow as well.
i guess its more of suturing radther than knot tying. Because all i'm doing is closing an 8 cm incision. Needle holder in right hand with the forceps in the left.
i guess its more of suturing radther than knot tying. Because all i'm doing is closing an 8 cm incision. Needle holder in right hand with the forceps in the left.
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63768
hahah i used to ask for the leftover suture after all the procedures. after one long day in the OR, i'd have at least 30 strands to play with. surprising how much suture (among other materials) you have to throw away since they can't be resterilized.
and i agree that suturing is important since learning to wield the forceps and needle takes considerable practice. i just did a knot security study so i'm a little biased in that i worry about varying knot security between surgeons. haha.
and i agree that suturing is important since learning to wield the forceps and needle takes considerable practice. i just did a knot security study so i'm a little biased in that i worry about varying knot security between surgeons. haha.
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8744
Unfortunately, all I do is the one-handed surgeons knot and the instrument tie so I have to really practice all the others.
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I expected in my surgery rotation in med school to learn how to suture and tie knots, but it was actually in my OB-GYN rotation where I learned the skill. Med Students were the designated epesiotomy monkeys. Given the tight working space, I learned to perfect the one-handed tie. It is a neat trick, and I continued using it afterward for sewing up lacs in the ER. You need a bit of free end to do the one-hand tie, but it's quick and flashy. After you start to run out of suture, you can resort to the slower and less showy instrument tie.🙂
Nick
Nick
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[/quote] i just did a knot security study so i'm a little biased in that i worry about varying knot security between surgeons. haha.[/QUOTE]
cool. what did your study say about the varying knot security between surgeons. iow, who tied the best knots? lol
cool. what did your study say about the varying knot security between surgeons. iow, who tied the best knots? lol
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63768
well the study itself was a knot security study to elucidate 1) the ideal number of throws for a square knot, 2) whether post switching and loop reversal were necessary for open knot security, and 3) figure out which was the best arthroscopic knot. the study itself had nothing to do with varying knots btwn surgeons, but for the square knot part of the study, we wanted to find a surgeon that could tie the knots consistently. granted it's a very limited sample but IM tied the weaker knots, ortho tied the most consistent knots (we may be a little biased), and ER docs tied the strongest.
