ALL SUTURES: Tips to LEARN FAST!! (Dental Suture Techniques - Oral Surgery - Dentistry Suturas) — Transcript

Full transcript

1. 0:00hello guys and welcome to this video to
2. 0:01learn about sutures okay so let's start
3. 0:04learning about the instruments so this
4. 0:06is the needle holder okay so we are
5. 0:08going to use this one to do the Sues and
6. 0:10of course this would be the correct way
7. 0:12to hold okay so you have your thumb on
8. 0:14one of the circles and not this one the
9. 0:17middle finger this one okay so this
10. 0:20finger here and then the index finger
11. 0:23holding closer to the tip okay so then
12. 0:25you would be ready to do a very nice
13. 0:27future the thing is that now that you
14. 0:30are holding like this if you need you
15. 0:31can always rotate your uh needle holder
16. 0:35and then you still have three fingers
17. 0:36available so you have three fingers
18. 0:38available and then you can for example
19. 0:39hold the cissors now to cut the suture
20. 0:42when you are doing the procedure okay so
21. 0:44if you are working by yourself without
22. 0:46the dental assistance then of course you
23. 0:48can use this and then you can always
24. 0:50come back to the original position I'm
25. 0:52using a silk 40 uh sutures but of course
26. 0:56you guys can use nylon and even
27. 0:58resorbable sutures depending on the
28. 0:59clinical situation silk sutures they are
29. 1:02more firm they have less memory when you
30. 1:04tight but then of course if they touch
31. 1:07blood then they get moist okay so there
32. 1:09is this disadvantage I prefer nylon
33. 1:12myself but again depend on the clinical
34. 1:14situation and on the preference of the
35. 1:16surgeon all right so the first thing
36. 1:17would be to open of course the package
37. 1:19okay so someone would open usually for
38. 1:21you because it's the stereo all right
39. 1:24and then this part is a stereo and it
40. 1:26will be dropped on your surgical field
41. 1:29if if I open this first part here okay
42. 1:33then I will find the needle and now I
43. 1:35can pull the needle even using the
44. 1:36needle holder all right so let's start
45. 1:40by the interrupted sutures so the single
46. 1:42sutures all right and then I'm going to
47. 1:44go from Buckle to lingo okay so please
48. 1:47realize that I have a 90° angle between
49. 1:51my needle holder and my needle okay like
50. 1:53this don't forget that we need to do
51. 1:55this movement of rotation okay to
52. 1:58capture from Buckle to lingle and now we
53. 2:00go from Buckle to lingual okay so from
54. 2:03Buckle and then I will even since both
55. 2:06borders are close to each other I
56. 2:08recapture with my needle holder okay and
57. 2:11now I need to pull the thread but of
58. 2:14course there is the tongue of the
59. 2:16patient and everything else so now I'm
60. 2:18going to use the other hand and then the
61. 2:19other fingers to help pulling the thread
62. 2:22surrounding my fingers with the thread
63. 2:24in order to avoid the needle to be far
64. 2:27away from my surgical field so I'm
65. 2:29pulling now the threads and now I need
66. 2:31to do these movements so now I will do
67. 2:35uh one okay so I will rotate the thread
68. 2:38I will I'm holding the needle with one
69. 2:40hand and the needle holder with the
70. 2:41other and now I will do one and then two
71. 2:45okay clockwise so I grab the tip of the
72. 2:48thread and now I just pull but I will
73. 2:51pull with this hand holding the needle H
74. 2:54not with the hand of the needle holder
75. 2:56okay because otherwise if I pull with
76. 2:58both hands then I don't have space I
77. 3:01will probably touch the tongue of the
78. 3:02patient and the Heart pallets I I can
79. 3:05touch the needle holder on the heart
80. 3:06pallets and then this is not so good so
81. 3:08I try usually to pull only with one hand
82. 3:11okay that's the best thing that I can
83. 3:13try here all right and then only at the
84. 3:16end I can try to pull with both hands
85. 3:19okay and take a look at this my knot is
86. 3:21actually on the buck mosa okay not on
87. 3:25the top of the incision okay you don't
88. 3:28want you're not close to the incision
89. 3:30you want your not buckle and never
90. 3:32lingual as well because it's less
91. 3:33comfortable for the patient all right
92. 3:36now I can do there are different
93. 3:38theories accepted but I usually do
94. 3:41that's the way I do I do two uh one one
95. 3:44okay so I did two rotations with the
96. 3:47thread around my instrument now I will
97. 3:49do only one okay so now I will do only
98. 3:51one still
99. 3:53clockwise okay I
100. 3:55capture the the tip of the thread again
101. 3:59and then I
102. 4:01will I will finish my suturing procedure
103. 4:05here okay so now I will PVE stronger and
104. 4:08then I will now the last one I will do a
105. 4:13counterclockwise okay so I will lock the
106. 4:16knot and now I need to grab the tip with
107. 4:19the other one okay so now I'm grabbing
108. 4:22the tip again of the thread and the
109. 4:25close to the the closer to the tip I am
110. 4:27even better okay so I grab grab closer
111. 4:30to the tip like this and now I am
112. 4:32pulling only with the hands holding the
113. 4:35needle all right and take a look at this
114. 4:38now I finish my suure okay now of course
115. 4:41I need to cut both of them okay of
116. 4:43course you guys will have a tweezer to
117. 4:45help you guys okay you can use a tweezer
118. 4:48to assist in this procedure that's your
119. 4:50uninterrupted suture let's go for a
120. 4:53continuous suture now so for the
121. 4:55continuous suture we are going to start
122. 4:57with the interrupted suture okay so
123. 4:59again we are going to do one single
124. 5:02suture right so again from bucko to
125. 5:04lingo I capture my needle again and then
126. 5:09I can even lock my knots going the other
127. 5:11way around right so
128. 5:14counterclockwise and then I
129. 5:18hold uh the the thread again and then I
130. 5:21finish my suture okay very good however
131. 5:25instead of cutting this future I am
132. 5:27going to continue as a continuous
133. 5:30suturing procedure all right I go from
134. 5:33Buco to lingo all right however I will
135. 5:38repeat this
136. 5:43[Music]
137. 5:50procedure okay so if if your tip is like
138. 5:52this we release the tip of the thread
139. 5:55cuz it doesn't belong here all right
140. 5:59[Music]
141. 6:00and as much as I want so it depends on
142. 6:04the extension of my incision all right
143. 6:08and now I will finish the procedure
144. 6:11okay so I will not pull everything now
145. 6:15and then you guys will realize that I
146. 6:16have this Loop here okay I don't finish
147. 6:18my loop I will finish the knot with this
148. 6:21Loop okay since I don't have an
149. 6:22extremity a free extremity of the thread
150. 6:26so again the procedure of the knot one
151. 6:30two okay now I grab the loop and then I
152. 6:36just finish the knots and of course I
153. 6:38will have now three
154. 6:40tips okay why I have three tips because
155. 6:43I cut the loop and the other one the one
156. 6:46of the needle okay so that's why I have
157. 6:49now one two and three for the horizontal
158. 6:52mattress I will start Buckle right so I
159. 6:56go buckle and then to lingual of course
160. 7:00if the borders are far away from each
161. 7:02other capture first the Buckle Your
162. 7:05needle will come here for example in the
163. 7:06middle of the sockets if there if there
164. 7:08was a socket and then you capture only
165. 7:11the lingual okay you don't need to
166. 7:12capture buck and lingual tissues at the
167. 7:14same time however now I will come back
168. 7:18from lingual to bco lingual to
169. 7:23bco all right and
170. 7:27then I just finished the not so we just
171. 7:30go
172. 7:32one
173. 7:33two okay counterclockwise and then we
174. 7:36capture the tip here okay and then we
175. 7:42pull only one hand pulls not the other
176. 7:44one okay and now we are finishing our
177. 7:48horizontal mattress another one which is
178. 7:50very useful is the socket the X suture
179. 7:55okay so there are two ways of doing this
180. 7:57I'm going to go with the normal X type
181. 8:00of suture let's understand that this is
182. 8:03a socket of Moler and then I want to
183. 8:05suture the socket even to keep the blood
184. 8:07clots to prevent food from entering so
185. 8:11we go Bingo first okay and don't forget
186. 8:16this is an next suture now okay and now
187. 8:20B lingo again the meal aspect of the
188. 8:23sockets okay so now I will pull and I
189. 8:26have of course this aspects all right I
190. 8:29came from this buo and I am coming out
191. 8:33from misio PTO or mis lingual so one
192. 8:37thing that you can do is to put your
193. 8:39instrument in the middle so that you can
194. 8:42help with your instruments to pull the
195. 8:44thread okay so you pull one hand and
196. 8:46pull your instrument pull one hand and
197. 8:48pull your instrument and then we just
198. 8:51finalize our sutures with that extremity
199. 9:04for the lock in continuous future then
200. 9:06when we do this procedure here I will do
201. 9:09first the single suure and then when I
202. 9:11keep going
203. 9:13buto to me or to this direction now it's
204. 9:16a little bit different because I have
205. 9:18the looping and I want to pass my needle
206. 9:21inside the looping first okay so I will
207. 9:24pass my needle inside the looping all
208. 9:27right and then
209. 9:29I continue the procedure
210. 9:32okay and this is the pattern that we
211. 9:34have when we are doing the lock and
212. 9:37continual suture all right and for the
213. 9:39vertical mattress of course we need to
214. 9:41start deep right so you start deep Bome
215. 9:46okay and
216. 9:48then come back more superficial in the
217. 9:52lingual from the lingual to
218. 9:55B so like this aspect here and like this
219. 9:59to different heights so if you guys like
220. 10:01it please hit the like button and see
221. 10:03you guys on next videos