Hard to believe this is the first video I've watched that starts off with how to gather and slide! This helps me so much with handling the suture, thanks for the great walk through
Nice progression teaching technique. Icing on the cake would be one handed square knots rather than stacked 1/2 hitches. Adding in a surgeon's knot for both two-and one-handed would be additional skill builders. All said, this is an excellent base to start.
This is a nice tutorial, but there is a fundamental error in how you are demonstrating this: by not alternating the direction in which your hands go as you draw down each throw (i.e. left hand comes towards you while right hand goes away from you; then alternate with each hitch) you stack hitches and do not get flat, square knots. So I love the principles and subtleties you are teaching here, but without expounding on both the principle of "alternating directions" of your hands and the principle of applying "equal tension in opposite directions" as you draw down, you get poorly formed knots (from stacked hitches) which ultimately require additional throws (thus bulk of foreign material) for knot security.
Andrew Hart Thank you for this feedback. We start our instruction with slip knots/half-hitches to help our learners develop the proper mechanics of suture handling that is so critical for success. We teach square knots once our learners demonstrate proficiency with this simpler knot. Half-hitches or slip knots are not as secure as square knots, but with the combination of available suture material and human tissues characteristics, half-hitches can be more than adequate and are used effectively by many surgeons in various specialities and in general surgery. Our approach is to avoid dogmas and rigid rules for technical skills as we have found them to be frequently contradictory and often lead to confusion for the novice. Instead a broad introduction and encouragement to experiment in a simulated setting helps them understand the relevance and appropirate context for certain technical preferences as well as their limitations.
Hard to believe this is the first video I've watched that starts off with how to gather and slide! This helps me so much with handling the suture, thanks for the great walk through
This video helped me a lot and I've revisited it a couple times, nice teaching style!
Nice progression teaching technique. Icing on the cake would be one handed square knots rather than stacked 1/2 hitches. Adding in a surgeon's knot for both two-and one-handed would be additional skill builders. All said, this is an excellent base to start.
Good demonstrations
This is a nice tutorial, but there is a fundamental error in how you are demonstrating this: by not alternating the direction in which your hands go as you draw down each throw (i.e. left hand comes towards you while right hand goes away from you; then alternate with each hitch) you stack hitches and do not get flat, square knots. So I love the principles and subtleties you are teaching here, but without expounding on both the principle of "alternating directions" of your hands and the principle of applying "equal tension in opposite directions" as you draw down, you get poorly formed knots (from stacked hitches) which ultimately require additional throws (thus bulk of foreign material) for knot security.
Andrew Hart Thank you for this feedback. We start our instruction with slip knots/half-hitches to help our learners develop the proper mechanics of suture handling that is so critical for success. We teach square knots once our learners demonstrate proficiency with this simpler knot. Half-hitches or slip knots are not as secure as square knots, but with the combination of available suture material and human tissues characteristics, half-hitches can be more than adequate and are used effectively by many surgeons in various specialities and in general surgery. Our approach is to avoid dogmas and rigid rules for technical skills as we have found them to be frequently contradictory and often lead to confusion for the novice. Instead a broad introduction and encouragement to experiment in a simulated setting helps them understand the relevance and appropirate context for certain technical preferences as well as their limitations.