Subcuticular Closure, Aberdeen Hitch, and Simple Interrupted Nylon Suture: Surgical Techniques

Summary

In this article, we will discuss various surgical techniques, including subcuticular closure, Aberdeen Hitch knot, and simple interrupted nylon suture. We will also emphasize the importance of having basic skills such as knot tying and suturing in the field of surgery.

Subcuticular Closure
Aberdeen Hitch Knot
Simple Interrupted Nylon Suture
Basic Skills in Surgery
Conclusion

Subcuticular Closure

The subcuticular closure is a surgical technique used to close a wound without leaving any visible scars. The speaker advises tying three or four single-handed throws and then protecting the needle while pulling the suture through. They should run along the dimension of the skin and use the back of the needle to push it along. The only knots required are to anchor it at the beginning. The goal is to make the closure look like nothing ever happened.

Aberdeen Hitch Knot

The Aberdeen Hitch knot is a knot used to bury the knot so that it is hidden and the sutures will dissolve on their own. The speaker emphasizes the importance of not letting the loop get too small and pulling on the bottom of the knot. The goal is to bury the knot so that it is hidden.

Simple Interrupted Nylon Suture

The speaker then moves on to discussing how to close a laceration with a simple interrupted nylon suture. They explain that the filament being used is a 3-0 nylon, which is slightly larger than the 4-0 they were previously working with. The speaker recommends trimming the tails and putting in a separate knot each time instead of running the suture continuously.

Basic Skills in Surgery

The speaker also notes the importance of having basic skills such as knot tying and suturing in the field of surgery. They discuss various surgical techniques, including interrupted closure and instrument tie, and notes that general surgeons typically do not use the latter. The speaker acknowledges that some patients may require more difficult procedures.

Conclusion

In conclusion, the transcript provides insight into the world of surgery and emphasizes the importance of having skilled professionals in the field. Having basic skills such as knot tying and suturing can make a significant difference in the success of a surgical procedure. Aspiring surgeons should take the time to learn and perfect these skills to become successful professionals in the field.