Here's a summary guys! Multifilament (braided sutures): NA silk suture (chest tube stitches), NA ethibond/polyester (hernia repairs), A vicryl (most commonly used), NA fiberwire (tendon or ligament repair) Monofilament: NA prolene (vascular repairs), NA nylon/ethilone (skin interrupted closure), A chromic (cirrcumscicions), A PDS (peritoneum closure-big bites), A monocryl (most common-running skin stitch) A- absorbable; NA- Not absorbable
Nice introduction. I'm a retired scrub tech with 45 years in the OR, so there's a whole lot I can bore you with about ancient stuff, like needle books of free needles, skin closure with multiple interrupted silk suture on Keith free needles, stainless wire for fascia closure and contaminated skin incisions, and a whole lot more. There's a braided nylon, Nurolon if I remember correctly. I loved Monocryl for skin closure, because it is a very limp monofilament, unlike nylon and Prolene. Vicryl is indeed a very common suture (dyed or undyed), but a very few patients (myself included) experience an allergy to it.
Hi! I am looking to possibly John this field. Is this a good job to retire from? Did you make a lot of money doing so? And did you enjoy it overall? Cons and pros would also be helpful Tysm !!❤
@@QuellArion I earned enough to get a decent social security check, but it isn't a really high-paying field. My training (in 1977) was 9 months, and $500. Today I think most programs are 2 years, and a lot more expensive. Most hospitals now demand that you maintain certification, which means membership fees for AST and paying for continuing credits. I dropped membership and worked in hospitals that didn't require certification, and probably saved over $10,000 over the course of my career. I most enjoyed first assisting, but was cut out of that for the last 10 years because I hadn't paid out more money for more schooling to get the proper letters after my name. Generally, all scrub techs have to take call---the smaller the work force, the more call you have to cover. That really cuts into time spent with family. It is physically stressful, handling heavy instrument sets and standing for hours. Surgeons ran the gamut from very talented to incompetent, great to work with to entitled assholes. O.R. directors also vary. The worst was an AORN bitch in high heels, who nearly destroyed a good crew in a year by pushing for an all-RN O.R.. It can be rewarding, and beats flipping burgers or waiting tables.
@@666toysoldier It’s either surgical tech to first assistant or sonography doing ultrasounds. Nursing sounds very stressful but they’re better paid and flexible hours. Being in your 20’s and deciding is hard lol ! Thank u a BUNCH !
@@666toysoldier When I retired from the Navy as a Corpsman I was shocked to see RNs scrubbing in civilian hospitals. It seemed like a waste of money to have them scrub and not do RN tasking. Oh well. 45 years is a shit ton of experience my good man!
@@QuellArion HEY what did you decide to pursue? I'm currently in school to become a CST ..everyone assumes nursing is like the only position in the health field lol besides MD. I actually was deciding between surg tech, sonography, or x-ray tech ..these are all rewarding and challenging programs!
Just want to mention that these videos are gold for nervous med students who spent 2 years studying books and are suddenly thrust into real world rotations having done maybe a day of skills lab stuff... You have kept me from looking like a dumb dumb on many occasions.
I'm starting my Surgical Tech Program soon, and having these videos available to me and understanding the ins and outs of what ill be learning is great! I'll be on top of my game on day one, THANK YOU SO MUCH!!!!!! Keep them coming!!!!
Tomorrow is my interview for OR nurse position.. it’s been 6 years since i had 5months training in theater.. time to purse that side of nursing career.. so happy found your channel
I have been a nurse for 38 years in ER and OB. We are going to be doing our own circulating for C-Sections and your information has been wonderful. I hope I never have to scrub because I will pass out if I stand in one place too long. Anyway, from my ER experience the blue prolene suture is used for skin closure in hairy areas so it can be identified easily when removing it (unless the patient has blue hair which is not that uncommon anymore). Thank you for the awesome videos!
I’m a new grad RN who has decided to go into the role of a circulating nurse for a private practice orthopedic OR. Thank you for sharing your wisdom. It helps to know what they’re asking for and why!
As a new circulator this is so helpful. I like to know how to anticipate the needs of the day from case to case. Knowing these details is so great. Thank you!!!
I am a pharmacist and a medical interpreter. THis helping me so much to go out of my filed and learn more about surgical techniques. Thank you so much!!!
I'd love to see a longer version! You could always break it up! I'm addicted to these videos. I'm on the track to becoming a CST and I'm in love with the career. Thanks for all the great info!
I’m about to begin a scrub nurse training program. I’ve circulated for 9 years, but there is still so much that I don’t know in the scrub area. These videos are great. I’m not as nervous.
I learned pretty quick when I gave a tappered needle to close, lol the surgeon kept bending the needle and I got my ass chewed, I blame not knowing sutures in my program for that. This is very helpful thank you.
+K Tray instrument videos would be a ton of information. Definitely a thought, would just have to break them up into a lot of videos. Thanks for the feedback.
Another idea (i know you're very busy) is to do like "An Instrument of the Week" type of video. I really enjoy the videos, but thought Id hop in this conversation about instrumentation!
Thank you so much for posting this video! I'm a Medical Assisting instructor, and this video provides excellent information about sutures. Thanks again!
Great video, from a veterinary perspective, Vircyl, Chromic Gut, PDS, &Monocryl are the absolute most used, but a lot depends on the doc, old school and new school have very different ideas on what's best for what! But this was awesome.
Even though silk is classified as a nonabsorbable suture, it does get absorbed in a couple of years. Might that be the reason why it's not used to secure hernia patches in place?
Hi I’m currently in a surgical tech program and we’re just about to get ready to test on sutures it’s so many to know but this helped me out a little bit thanks !!! 😊
We use vicryl or chromic gut when doing vasectomies at my clinic. You’re absolutely right about the smell of the chromic gut sutures when you open them, whiff…
Frankly, a more accurate title may have been : Common Suture Materials (as the video does not detail stitch patterns or limit scope to the O.R.) . This video could also benefit from a text overlay (i.e. running list or diagram) to act as a visual record of the info as it is discussed; this would provide clarification, distinction, a reference point for viewers. Having utilized many of the products highlighted in this video, I know how the materials are packaged, but other viewers may not and--for this reason--an unwrapping segment may also be indicated. Still, it's wonderful that the creator took time to make and publish this video for all to see. Thank you
I am studying to be a vet assistant and opting for the veterinary technician program next. Thanks for dumbing down all the sutures for the novices! Definitely subscribing to your channel. My long term goal is to be a vet tech specializing in orthopedics and or rehab because I am also a licensed therapist with advanced understanding of anatomy and physiology. Thanks for this video and making it fun! Do you have a video explaining all the instruments and their purposes? I think that would be useful too.
thank you for all the videos brother they have helped a lot and still helping a lot. im doing my hours now and sutures are so hard to understand cause there's so many of them.
Thank you for your videos! I love your conversational style. I am a Surgical Technology instructor and I think my students will find your videos very helpful. I couldn't help but notice your suture presentation only covered Ethicon suture which I am sure is because that is what your hospital has. Many of the hospitals in our area also use Covidien suture so our students not only have to learn all about the different types of suture - they also need to learn equivalents across manufacturers. If you make another suture video, would you be willing to discuss that information?
+Sue Miller I have a second part to this video where I will be talking about "crazy sutures" like quill, stratafix, Vlocs, endostitches and such. Was going to include it in this one, but didn't want the video to drag on too long. Thanks Sue!
I just found your channel and I absolutely love it!! I’m currently a surgical tech student in Texas and I’ve been using your videos to study as well as learn more! I appreciate your explanations of things!! I wish you did more videos!! Maybe one on the difference between being a CST and a FA?!?!?!
thanks for your video. it was of great help to me during my practice class on suture and for my assignment. you are awesome. i just love your personality.... all of you
I’m just a student nearing the end of school and in clinicals but regarding the silk vs polyester. Silk not being used in hernia repairs could be because it isn’t a “true” non-absorbable, meaning it will last about two years in some people, whereas polyester lasts forever and for hernia repairs, well you can figure out why using a very strong suture that will last forever would be used.
Thank you so much for this video and all your other videos! I'm a new circulating nurse overwhelmed with all the information I need to learn. Sutures was something I never thought I was going to grasp, but this is a great resource!
Thanks for this video, super helpful! I work in podiatry and we do use fiber wire for Achilles repairs and definitely Achilles re attachments with anchors. Same as ortho!
bro can you please go through some labs hands on suture and techniques I am having a hard time getting done right on knocks techniques much appreciated great videos please keep posting more and feel free to take deep dive on any of them.
Interesting, I found this video out of general curiosity anyway a chart showing the multifilament and monofilament sutures would have been a helpful summary.
What is used of round body needle.and straight convention cutting needle...you have talk only about cutting and taper cut needle only....what is used of polyester suture... please update.. And thank for your video...good job.
If a pacient has a web like suture with absorbable wires, and the doctor said they would fall off in 10 days but after 15 days they still haven't fallen off, what should he do? Does the skin need to cover the wires or do the wires fall off as they do not seem have changed much? Thanks for your help.
@@SurgicalTechTips thank you sir for the video. I earlier screwed up my bottom portion of left feet ankle and wanted to know about the sutures doctors performed on me !!
Here's a summary guys!
Multifilament (braided sutures): NA silk suture (chest tube stitches), NA ethibond/polyester (hernia repairs), A vicryl (most commonly used), NA fiberwire (tendon or ligament repair)
Monofilament: NA prolene (vascular repairs), NA nylon/ethilone (skin interrupted closure), A chromic (cirrcumscicions), A PDS (peritoneum closure-big bites), A monocryl (most common-running skin stitch)
A- absorbable; NA- Not absorbable
What does "NA" stand for?
@@ParodyDestroyer NON Absorbable
👏👏👏 Thank U
Thank you🙂
Ty 😇
Nice introduction. I'm a retired scrub tech with 45 years in the OR, so there's a whole lot I can bore you with about ancient stuff, like needle books of free needles, skin closure with multiple interrupted silk suture on Keith free needles, stainless wire for fascia closure and contaminated skin incisions, and a whole lot more. There's a braided nylon, Nurolon if I remember correctly. I loved Monocryl for skin closure, because it is a very limp monofilament, unlike nylon and Prolene. Vicryl is indeed a very common suture (dyed or undyed), but a very few patients (myself included) experience an allergy to it.
Hi! I am looking to possibly John this field. Is this a good job to retire from? Did you make a lot of money doing so? And did you enjoy it overall? Cons and pros would also be helpful Tysm !!❤
@@QuellArion I earned enough to get a decent social security check, but it isn't a really high-paying field. My training (in 1977) was 9 months, and $500. Today I think most programs are 2 years, and a lot more expensive. Most hospitals now demand that you maintain certification, which means membership fees for AST and paying for continuing credits. I dropped membership and worked in hospitals that didn't require certification, and probably saved over $10,000 over the course of my career. I most enjoyed first assisting, but was cut out of that for the last 10 years because I hadn't paid out more money for more schooling to get the proper letters after my name. Generally, all scrub techs have to take call---the smaller the work force, the more call you have to cover. That really cuts into time spent with family. It is physically stressful, handling heavy instrument sets and standing for hours. Surgeons ran the gamut from very talented to incompetent, great to work with to entitled assholes. O.R. directors also vary. The worst was an AORN bitch in high heels, who nearly destroyed a good crew in a year by pushing for an all-RN O.R.. It can be rewarding, and beats flipping burgers or waiting tables.
@@666toysoldier It’s either surgical tech to first assistant or sonography doing ultrasounds. Nursing sounds very stressful but they’re better paid and flexible hours. Being in your 20’s and deciding is hard lol ! Thank u a BUNCH !
@@666toysoldier When I retired from the Navy as a Corpsman I was shocked to see RNs scrubbing in civilian hospitals. It seemed like a waste of money to have them scrub and not do RN tasking. Oh well. 45 years is a shit ton of experience my good man!
@@QuellArion HEY what did you decide to pursue? I'm currently in school to become a CST ..everyone assumes nursing is like the only position in the health field lol besides MD. I actually was deciding between surg tech, sonography, or x-ray tech ..these are all rewarding and challenging programs!
Just want to mention that these videos are gold for nervous med students who spent 2 years studying books and are suddenly thrust into real world rotations having done maybe a day of skills lab stuff... You have kept me from looking like a dumb dumb on many occasions.
Nice overview on sutures. Explaining how they are sized by number would be a great addition to this tutorial!
yes i'd love to understand this
I'm starting my Surgical Tech Program soon, and having these videos available to me and understanding the ins and outs of what ill be learning is great! I'll be on top of my game on day one, THANK YOU SO MUCH!!!!!! Keep them coming!!!!
Tomorrow is my interview for OR nurse position.. it’s been 6 years since i had 5months training in theater.. time to purse that side of nursing career.. so happy found your channel
I have been a nurse for 38 years in ER and OB. We are going to be doing our own circulating for C-Sections and your information has been wonderful. I hope I never have to scrub because I will pass out if I stand in one place too long. Anyway, from my ER experience the blue prolene suture is used for skin closure in hairy areas so it can be identified easily when removing it (unless the patient has blue hair which is not that uncommon anymore). Thank you for the awesome videos!
I’m a new grad RN who has decided to go into the role of a circulating nurse for a private practice orthopedic OR. Thank you for sharing your wisdom. It helps to know what they’re asking for and why!
As a new circulator this is so helpful. I like to know how to anticipate the needs of the day from case to case. Knowing these details is so great. Thank you!!!
Next should be a video on handling, loading and cutting sutures/ties. Love these videos!
I am a pharmacist and a medical interpreter. THis helping me so much to go out of my filed and learn more about surgical techniques.
Thank you so much!!!
I'd love to see a longer version! You could always break it up! I'm addicted to these videos. I'm on the track to becoming a CST and I'm in love with the career. Thanks for all the great info!
+Samantha Ames I did make a few videos on suture, crazy sutures, and needles
Surgical Tech Tips I saw that not long after I posted this comment haha. Thanks again!!
I’m about to begin a scrub nurse training program. I’ve circulated for 9 years, but there is still so much that I don’t know in the scrub area. These videos are great. I’m not as nervous.
I learned pretty quick when I gave a tappered needle to close, lol the surgeon kept bending the needle and I got my ass chewed, I blame not knowing sutures in my program for that. This is very helpful thank you.
Thank you. I’m a Nurse and totally unfamiliar with all this. But your videos are helping with context and building a foundation!
Today was the third day into my program, learned the first 11 instruments yesterday. So far it's super fun. Will you do videos on the instruments?
+K Tray instrument videos would be a ton of information. Definitely a thought, would just have to break them up into a lot of videos. Thanks for the feedback.
Surgical Tech Tips maybe introduce a few instruments at the beginning or end of every video
Another idea (i know you're very busy) is to do like "An Instrument of the Week" type of video. I really enjoy the videos, but thought Id hop in this conversation about instrumentation!
Thanks! I'm in training to be a Circulating Nurse and this will help a lot.
Thank you so much for posting this video! I'm a Medical Assisting instructor, and this video provides excellent information about sutures. Thanks again!
Thank you so much for your videos. I have been having a hard time with sutures. This has narrowed down a lot. Appreciate this so much
+Mini A thank you, should be doing some more soon ^^
Thank you 🙏🏽 having my first OSCE exams tomorrow and this will really go a long way.
Great video, from a veterinary perspective, Vircyl, Chromic Gut, PDS, &Monocryl are the absolute most used, but a lot depends on the doc, old school and new school have very different ideas on what's best for what! But this was awesome.
we're getting into sutures this quarter & I heard in our program this part is very overwhelming. thank you for this!
Scrubs Only I'm waiting for an update video on your program!
Even though silk is classified as a nonabsorbable suture, it does get absorbed in a couple of years. Might that be the reason why it's not used to secure hernia patches in place?
Thank you for making these videos. A lot of this stuff actually overlaps with my veterinary technology studies. 😁
Hi I’m currently in a surgical tech program and we’re just about to get ready to test on sutures it’s so many to know but this helped me out a little bit thanks !!! 😊
We use vicryl or chromic gut when doing vasectomies at my clinic. You’re absolutely right about the smell of the chromic gut sutures when you open them, whiff…
Frankly, a more accurate title may have been : Common Suture Materials (as the video does not detail stitch patterns or limit scope to the O.R.) . This video could also benefit from a text overlay (i.e. running list or diagram) to act as a visual record of the info as it is discussed; this would provide clarification, distinction, a reference point for viewers. Having utilized many of the products highlighted in this video, I know how the materials are packaged, but other viewers may not and--for this reason--an unwrapping segment may also be indicated. Still, it's wonderful that the creator took time to make and publish this video for all to see. Thank you
Thank you for this! I’m currently a surgical tech student learning about suture
I am from Saudi Arabia I want to thank you for this useful video I benefited a lot form it
I am studying to be a vet assistant and opting for the veterinary technician program next. Thanks for dumbing down all the sutures for the novices! Definitely subscribing to your channel. My long term goal is to be a vet tech specializing in orthopedics and or rehab because I am also a licensed therapist with advanced understanding of anatomy and physiology. Thanks for this video and making it fun!
Do you have a video explaining all the instruments and their purposes? I think that would be useful too.
Hey man thanks so much for an better understanding, I am gladly appreciable for your time taking out to teach other
Individuals
Thank You so much for making these videos it really helps me to understand what I'm reading in the books
thank you for all the videos brother they have helped a lot and still helping a lot. im doing my hours now and sutures are so hard to understand cause there's so many of them.
Thank you for your videos! I love your conversational style. I am a Surgical Technology instructor and I think my students will find your videos very helpful. I couldn't help but notice your suture presentation only covered Ethicon suture which I am sure is because that is what your hospital has. Many of the hospitals in our area also use Covidien suture so our students not only have to learn all about the different types of suture - they also need to learn equivalents across manufacturers. If you make another suture video, would you be willing to discuss that information?
+Sue Miller I have a second part to this video where I will be talking about "crazy sutures" like quill, stratafix, Vlocs, endostitches and such. Was going to include it in this one, but didn't want the video to drag on too long. Thanks Sue!
going into M1 this august, your videos have been great in helping me prepare for med school! thank you so much for your hard work!
+youtube account Thanks so much :)
As soon as you said sutures I was like 😩 lol I remember in school we had to remember so many of them. There’s SO much to learn as a new tech. SO MUCH.
been looking for this explanations fir a long time.. thank you so much.
I just found your channel and I absolutely love it!! I’m currently a surgical tech student in Texas and I’ve been using your videos to study as well as learn more! I appreciate your explanations of things!! I wish you did more videos!! Maybe one on the difference between being a CST and a FA?!?!?!
Hey Danielle I’m starting clinicals as a student CST in one weeks time. Do the surgeons all scream at you like they’re saying???
Thankyou sir
I am watching from india
I was a micro resin needle attacher in ethicon in Scotland .. for 25 years brings back memories.now made in mexico
Excellent concise suture information for Periop 101 RNs in training as scrub nurse! Thank you! Mary Ramirez
great job , next we need a talk on Needles sizes ,types and usage ina simplified way just like sutures great job again
Considering becoming a nurse, good concise video.
Thank you, so much better than any book!
Very nicely brief explanation and intriguing mini presentation
thanks for your video. it was of great help to me during my practice class on suture and for my assignment. you are awesome. i just love your personality.... all of you
Thank you sir. Your explanations have been very helpful. Greeting from Poland.
I’m just a student nearing the end of school and in clinicals but regarding the silk vs polyester. Silk not being used in hernia repairs could be because it isn’t a “true” non-absorbable, meaning it will last about two years in some people, whereas polyester lasts forever and for hernia repairs, well you can figure out why using a very strong suture that will last forever would be used.
I am 12 years old but i love to see this kind of video
In the future i want to be a docter
So i start seeing this kind of video when i was 11
Thank you so much for this video and all your other videos! I'm a new circulating nurse overwhelmed with all the information I need to learn. Sutures was something I never thought I was going to grasp, but this is a great resource!
Kindly more detail ,previously prepared video
Dr
Thank you for the introduction in sutures, a lot of good information.
The vedio is very interesting... U taught us well❤️🙏...love from INDIA🇮🇳 sir
Haven’t scrubbed in 10 years since my clinicals. Going to step up to the plate.
This video is amazing thank you so much and very helpful
My daughter is a surgical Technician. Trauma. Thx great channel. You should be instructor at tech school
Great stuff man!!! I think you forgot to mention the Supramid suture though! 👍🏼👍🏼💯💯
Thank you sir. I learned so much from you. Godbless
we are surgical suture manufacturer in CHINA
Yes go in more deeper about sutures and what specific specialties use them because I forgot a lot
Yes please provide us more information about sutures
This is very good. I lean alot in this regard.
Go
Sorry, I should add, you're bloody awesome. Keep up the good work.
Very informative I didn't know even being a doctor
You should do a video on the Quill barber sutures that are finding their way into the mainstream from plastic surgery.
I love your videos. You help me immensely. Thank you so much
12 minutes of great info! keep up your great video!
Thanks for this video, super helpful! I work in podiatry and we do use fiber wire for Achilles repairs and definitely Achilles re attachments with anchors. Same as ortho!
This video was very good! I learned a lot through it, but could you upload a more detailed/in-depth version of this video?
Man you helped me a lot. Thank you
Good overview. Maybe missed an opportunity to touch on the numbering system for suture diameter.
Thanks a lot for sharing this video with us. Grateful
bro can you please go through some labs hands on suture and techniques I am having a hard time getting done right on knocks techniques much appreciated great videos please keep posting more and feel free to take deep dive on any of them.
Have you seen this video I did? ruclips.net/video/_HtTAM2lD4E/видео.html&ab_channel=SurgicalTechTips
Excellent , cleared all my doubts.
Thank you
Interesting, I found this video out of general curiosity anyway a chart showing the multifilament and monofilament sutures would have been a helpful summary.
Thank uhh for sharing your knowledge ..... I'm from India ♥️
When I was mauled by 2 dogs they used at least 3 of the different types of sutures that you showed us!
Wow, tough fight, huh?
We use fiberwire in podiatry for achilles repairs
Informative video,need more videos like this...
What about needle sizez,
Like 3-0 2-0
Hi... Wonderful job man. Keep it up. I really appreciate. Thanks for your videos.
Thank you.
Very clear speech.
Thank you Sir !( from Myanmar)
Very informative videos Thank you a lot🙂
Sir, this had been useful. thanks.
This would help if I new the tissue terms you mentioned.
What is used of round body needle.and straight convention cutting needle...you have talk only about cutting and taper cut needle only....what is used of polyester suture... please update..
And thank for your video...good job.
Absolutely love the video. Did anyone else think Charley from Grey's Anatomy?
Can u make a video about which size suture is used for what? I hope u understood my question 😅
If a pacient has a web like suture with absorbable wires, and the doctor said they would fall off in 10 days but after 15 days they still haven't fallen off, what should he do?
Does the skin need to cover the wires or do the wires fall off as they do not seem have changed much?
Thanks for your help.
Thanks for this amazing video. Learned more with you than my crappy professor
studying for my cst thanks for your help
Thank you!
Silk is natural, has more risk of tissue reaction..maybe thats why not used in hernia repair ;)
Thanks for the input!
y
@@SurgicalTechTips what type of sutures have knots built in that are dissolvable.
@@SurgicalTechTips thank you sir for the video. I earlier screwed up my bottom portion of left feet ankle and wanted to know about the sutures doctors performed on me !!
Yrss
More more more! How about eye surgery and plastic surgery sutures? Great video thank you very much for posting.
Thank you for the overview. Good job 👍
Thank you so much 🙏🏻🙏🏻🙏🏻🫡🫡🫡
Thank you so much!! I've learned a lot!!!!
Thank you! OR nurse. Only 6 months in on my own I get so confused on sutures!
Thank you so much for the information 😊
Great information. Would like information on dermatology procedures sutures