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10) Simple Running and Locking

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Summary

This on-demand teaching session is designed for medical professionals who would like to learn how to perform a simple running suture. Learn how to use a needle driver, suture, and scissors to create a highly effective technique for small wounds. Plus, find out how to apply a locking variation of the suture for added control. Be sure to join us and benefit from the hands-on demonstration of a expert medical professional.

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Learning objectives

Learning Objectives:

  1. Explains the purpose and components required to perform a simple running suture.
  2. Demonstrates how to correctly tie an anchoring stitch at the top of the wound for the suture.
  3. Describes the technique of creating a simple interrupted stitch while throwing sequential loops of suture material.
  4. Explains the steps for implementing the locking variation of the simple running suture.
  5. Demonstrates the technique for instrument tying using a loop, to secure the final stitch in place.
Generated by MedBot

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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

Today, we're going to learn how to perform a simple running suture for this. You will need a needle driver pickups, suture, scissors, suture, and you're behind the knife suturing board. The simple running suture, it can be used alone for small wounds under minimal attention. It is also typically used as a secondary layer for the approximation of the epidermis. After the dermis has been closed, using a deep surgery technique, we're going to start by picking up our needle drivers and loading our needle into them in an orientation for a forehand throat. The first part of the suture involves placing an anchoring stitch at the top of the wound to do that. We're going to perform a simple interrupted stitch here at the top. After we tie down this anchoring stitch, we can trim the short tail, but we'll reload the needle without cutting the long tail. We will then throw a series of simple interrupted throws, moving towards us. But instead of tiny, not we will just reload are needle when it comes out of the epidermis and preparation for the next sequential throw. It is important to take uniform bites with each throw for the final throw at the bottom of the wound, we'll perform a backhanded, simple interrupted throw. Instead of putting the suture completely through. As we've done previously, we'll leave a loop of suture material on the side of the incision, opposite of the needle. The surgery can then be instrument tied using the loop, which will act as the short tail. Once you cut the suture, here, you've completed a simple interrupted suture. If you'd like to throw a simple running locking suture, you will start the same way as the non locking, simple running suture with tying your anchoring stitch at the top of the wound, you will throw your next age. The same way. The difference here though is that when you come out with your needle on the other side, you will bring your needle driver through the loop you've created prior to re grasping the needle. After you grass the needle, you'll then pull laterally, which will lead to the future, not only running across the wound, but also running down parallel to the incision. What this does is lock each loop of suture in place. We'll repeat this again. Needle comes out of the epidermis. Needle drivers comes through the loop and then grass the needle and pull it laterally. You will continue this until you reach the end of the wound. And then we'll finish this technique the same way as I have demonstrated in the prior non locking, simple running suture video. And that is how you perform the locking variation of the simple running suture.