The One-Handed Knot: A Versatile Technique for Surgical Procedures
Summary
In this article, we discuss the one-handed knot, a versatile technique used in various surgical procedures from major trauma cases to minor lacerations in the emergency room. We explain how the knot is tied and its importance in general practice. We also provide an overview of a Surgery Resident Starter Pack that includes multicolored large-bore yarn to help show that the knot is lying perfectly as it is tied. Additionally, we cover the differences between sutures and the importance of holding the needle correctly. Finally, we teach a running subcuticular closure technique that leaves no visible stitches.
Table of Contents
- The Versatile One-Handed Knot
- Understanding Sutures
- The Importance of Holding the Needle Correctly
- Running Subcuticular Closure Technique
The Versatile One-Handed Knot
The one-handed knot is a versatile technique used in various surgical procedures, from fixing the inferior vena cava to sewing little arteries on the heart. It is a knot that is applicable in general practice and is tied everywhere, including closing skin lacerations. The knot has two throws, the forehand throw and the backhand throw, which are alternated to create the knot. The number of knots tied depends on the type of suture material used. To ensure that the knot is lying perfectly as it is tied, a Surgery Resident Starter Pack that includes multicolored large-bore yarn is used.
Understanding Sutures
During the conversation, we discuss the differences between sutures and the importance of holding the needle correctly. We explain that the type of suture used depends on the location of the wound and the tissue being repaired. We also emphasize the importance of even tension when tying the knot to ensure proper wound closure.
The Importance of Holding the Needle Correctly
The proper technique for holding the needle is crucial in ensuring that the suture is placed correctly. We explain the importance of holding the needle with a “pencil grip” and demonstrate the proper technique to the listener.
Running Subcuticular Closure Technique
Finally, we teach a running subcuticular closure technique that leaves no visible stitches. This technique involves using a suture to close the skin in a continuous loop, resulting in a neat and tidy closure. We demonstrate the technique on a skin model and provide feedback on the listener’s technique as they practice.
Conclusion
In conclusion, the one-handed knot is a versatile technique used in various surgical procedures, and proper technique when using sutures is crucial in ensuring proper wound closure. By following the techniques and tips discussed in this article, medical professionals can improve their suturing skills and provide better patient care.
