Surgeon Explains How to Apply Stitches | WIRED
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- Опубликовано: 25 июн 2024
- Trauma surgeon Annie Onishi shows WIRED contributor Peter Rubin how to tie various forms of surgical knots. Annie demonstrates the techniques behind a one-handed knot using different types of sutures that are typically used for various parts of the human body.
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Surgeon Explains How to Apply Stitches | WIRED 
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Imagine waking up during surgery and hearing the lead surgeon say “now ride the pony”
I was laughing when she said that. I know she didn't mean anything beyond medical information but it still sounded hilarious for obvious reasons.
@@TravisWolfe101 Keep it classy, man. There are children watching.
GamerGodYT imagine actually waking up during surgery
@@cris-nx3mk imagine actually waking up
Empire Lifts Back imagine actually
"...Because I have ham hands."
"No, you have healing hands!"
*2 seconds later*
"No, no, don't do that."
Keagan Miller Wait, you’ve got 1300 likes and nobody has commented? That’s weird.
@@ranz2355 lemme comment on your comment so that your comment isn't lonely. My comment will be lonely when it's posted, can someone keep it company by leaving a comment on my comment which is a comment of someone else's comment's comment?
@@cluckoothechicken5721 I'll comment on your comment commenting on how the other person's comment is lonely so your comment doesn't get lonely too. I'm risking being a lonely comment as well, but I hope some commenter will comment under my comment so I won't feel as lonely by giving your comment company.
@james elle I don’t have the brain capacity to follow this pattern, so I’m just gonna comment so your comment doesn’t get lonely.
@thelonelycherryhasnofriends wanna smoke parsley in an abandoned sewer pipe
That tone when she said "What are those pick-ups doing" in a stern but gentle voice. Man, as a resident that really sent chills. That just means stop.
FireySparrow Same lol
I loved that. She cracks me up. I had an instructor speak to us in a similar fashion. Though, he did not hold back on letting some students know they were complete morons. His face and the tone in which he said it would tell you everything you needed to know. Best instructor I ever had.
Timestamp for that for anyone else wondering is 15:45
What gave me chills is her saying everyone is yelling and her being really nervous and exhausted when shes the surgeon that someone's life depends on no wonder the patient isnt doing well lol
I'm just watching this for my book's reference but gosh, I got stressed when she said that! My heart literally skipped a beat.
"Wait. Wait. Wait. Wait."
"Doctor, the patient has bled to death."
"Wait."
*nurse dancing next to him*
@@hjubris lmao
This gave me Peter griffin vibes
I like her. She's teaching him like he's *really* meant to learn it.
She is an outstanding teacher honsetly tho. It's so refreshing to see honestly
Thats because shes used to stress. Try telling this girl your problems lol
@Navraj that makes it awkward to see when we're at 988, fighting the good fight! . . .? I agree that her cadence is pitch perfect in line with this idea. It's pure confidence that translates as the best leadership; this *is* the way things happen. Oh, okay, go on then.
I love the "WHAT are your pick-ups doing, stop it. *smack*"
Also kinda cute tho 👀
she made “sewing little arteries on the heart” and “fixing the inferior vena cava” sound as if u’re just going out to get coffee
Because if you do it everyday, it is like getting coffee lol
@@stephenosborne6401 but the activity itself is so dam intense to an average person
because surgeons need to be calm when sewing something.
Little sister
which would not even be done by the same kind of surgeon
"You have beautiful hands"
*slap*
"Don't, don't do that."
Gotta love those mixed messages :D
Let me be your first comment my friend. You deserved it, after 1.4k likes.
@@StayPrimal Hahaha thanks. This is probably my biggest footprint on the internet.
How old is she and is she half qhyte half japanese/asian?
What did the doctor say to the patient that wanted to stitch himself?
- *"Suture self."*
Cute
I feel bad for your kids if/when you have them.
(This is just a joke btw)
@@gingechicken7394
Fair. Thank you for your concern. :)
I'd be concerned about my kids too.
Lol.
Benjamin Robledo lmao
I-
He just got like $40,000 worth of medical education
Honestly 😂
Thot Patrol I think we ALL got 40,000 worth of medical education.
K B this cant be used in this content lmao
Indeed HAHAHAHA
Mother Russia ¿
I love how she used to be introduced as a medical resident and is now introduced as a trauma surgeon!
Little girl goals!!! Teacher: "What do you want to be when you grow up 🙂?"
Little girl: "A pediatric cardiothoracic surgeon 😃" *drops the mike*
Teacher: 😲
OMG TRUE, all I could think was “you’re doing amazing sweetie”. So proud of her!
corecaidete Mike - "ow"
I’m saving this to learn how to tie friendship bracelets
somehow this are the easiest instructions I’ve gotten on tying
So true!!
i have to agree
"Why didn't you teach me this one?!"
"Because it is not nice and it is NOT CIVILIZED!"
So good. Love having her.
I laughed at that part! She's great, but we do use both methods for suture closure , hand tying and instrument tying, all the time in General Surgery. Depends on the procedure, and the incision, and how much length of suture is left.
The instrument tie is most certainly nice and much more civilized than a hand tie. And in delicate procedures like nerve and vessel repair it is the ONLY way you can tie. We're talking 6-0 to 10-0 sutures that you can barely see without a microscope. Your eye, plastic surgeons and ear, nose throat doctors will certainly disagree with her on this.
All the rest on the knots is good.
@@shells500tutubo in the video she suggests that she ties 10-0 with her hands. Is that really possible?
Britt Yes! It requires an absurd amount of practice in addition to leaving plenty of room for mistakes, however.
One of my teachers agrees with her and even says that instrument knots give you less control over the suture
I still don't get it. Why not do it only with the instruments?
Now I can tie my cousin's mouth shut surgically
But first, _ride the pony_
@@ianpatrickwijaya2657 and do a karate chop
@@ianpatrickwijaya2657 What do you mean?
I think he's implying bang her. Shame.
Hol up.
Annie sees banana
"Most severe case I've seen yet. I see a little bruise"
Oh, she's great
Amazing I know 🤧👌
It’s cute when she slaps his hands like “don’t hold your pickups like that”. Such a mom energy!
I want Annie to teach me how to be a person
So you want her to be your mom
@@chetanphoenix I'd call her mommy.
Surgeons make bad parents
@@Lemont321989 h o w
@@veniceisnothere8673 always gone and usually busy i wouldn't say bad but busy parents
I never knew my friendship bracelets would secretly prepare me for surgical knots.
@Anon Ymous Same
That's so true. I used to do them since middle school. Last week our general surgery teacher showed us the knots. I was shocked 😂
Sameee
Anon Ymous she’s honestly not, the making the 4 and the tying of knots parts are weirdly similar.
Right
"Stop holding your pick-ups like that" while hitting hand
I like her haha
She's a great teacher!
"I like this one"
Wtf is that in your profile picture
Artificial Idiot your profile picture gives me nightmares
@@BarryBeeBensonite thats because my pfp can swallow the souls of the people
“Here’s the difference between me and you” was such a brilliant approach to teaching. She’s such a good teacher.
This reminds me of my intern days with my friends Meredith, Alex, George, Izzie, and Cristina.
Ahh the good old times of the first seasons
Yes
Oh man, the good ol' days with Meredith, Alex, George, Izzie, and Christina.
Almost like my friends, Christian, Jim, Alexandria, and Luther! Because you know them all based of names, right?
This is like when someone you know is talking about someone you don't know but uses their name. It makes no sense because nobody knows who tf you're talking about.
Hahahaha now only 3 are Alive and only 1 remains in the og hospital.
@@sov4956 4 are still alive. George was the only one who bit the dust. Izzie and Alex are together. Cristina is in Europe. Meredith the one left in SGMH
Resident here. This is actually better explained than most surgeons did in med school. Such a good video
I was gonna say, nobody was this nice to me during my surgery rotation, lol
Agreed. Also the "Its not civilized" line about instrument ties is the most General Surgeon thing she said in this entire video and I loved it.
Ness123 and it’s free
Cause no one else is /that/ level of nice and patient haha
Indeed it is
Did they repeat her soundbite of when to use the first knot?
I thought I was losing it when the soundbite repeated
Lol we already talked about the vena cava ok
Glad I'm not actually going crazy lmao
When?
Yeah they did, lousy editing in my opinion, although overall the quality of their videos is good.
I wish you could make a video of a seamstress or an embroiderer trying to do the same thing. and the doctor trying to hand sew as well!!
Right?? I have experience with hand sewing and embroidery and am watching this like 👁👄👁 whoa its 4d sewing
That would be incredible! What a lovely idea! ❤️
The techniques are actually very similar!
Yep. The running subcuticular closer is a ladder stitch.
So next step is closing skin with a singer with foot-pedal?
The first time I watched this video, I was in my last year of undergrad, sobbing about how I wouldn't get into med school. Now I'm in my second year of med school and the president of the local student surgical society.
Woah congratulations
Ok?
I clicked as soon as I saw Annie Onishi in the thumbnail. The way she explains anything is just delightful. Really loved the previous videos and was hoping WIRED would bring her out for more videos. It always amazes me how WIRED finds all of these people who don't only have knowledge about their respective fields of expertise but are really good at explaining generally complex topics in a way that's appealing to and understandable for a wide variety of viewers.
SAME! Only wired videos I've watched :)
I clicked because she’s too cute 😳
@@joshnormano6322 Yeah that too, she's adorable
nobody ruin it, its at 666 likes
and i agree :)
She’s such a sweat heart yall better bring her back
rianna yong
Medical fact: The heart doesn't actually sweat.
Sweat heart 🤣🤣 how does one spell sweet wrong lmao
SWEAT HEART
LOL
Not trying to be rude but I found that extremely funny..
SWEAT HEART
OK rblox 12 Yr old
4:04 the way she said "indeed" I can't 🤣
I don’t know why but “banana laceration” hit me the hardest with this. As an OR nurse I’m loving his commitment and effort
Her: ‘instrument ties are easier but cheesy, not nice, not delicate, not civilised.’
*cries in dentist*
Naz J
👍🏻 dentists get a pass, though; there's no room for hands in the mouth.
*Looks at my arm and remembers the doctor stitched it like that... and cries in very obvious scaring.*
@@jeffmansfield914*_forgive me father for i have sinned_*
Ezequel well... ok then. 🤷🏻♂️
I was thinking exactly the same.
12:18 "At this rate it's gonna heal before you even finish." What a sick burn haha
I feel like a kind of proud to see that she becomes a trauma surgeon, two years ago she was a resident, later a fellow and now a real surgeon
Brain: You gotta learn how to apply stitches
Me: why?
Brain: You just gotta
Can we take a moment and appreciate how easy she made that incision on the banana look? It was solid steady and laser straight.
its a razor sharp blade on a banana
@@ashhydra4689 Waiting for you take on that bossman
@thanks ye she is pretty good. she should go to med school and be a surgeon
She is a surgeon, I would hope she would be steady with her incisions lol
You know shes an actual surgeon by the fact that she slaps his hands at most mistakes he makes. 😂
Why do surgeons do that?
@Navraj *cost lives.
@@chilliam00 I'm sure in very different situations, they can cause them too...
Jackal Phoenix yeah anything you do can cost a life. You never know
Literally!!🤣🤣🤣🤣
As a 23 year old who still can't draw strait lines on paper, what most impressed me was her very casual very perfect straight incision on the banana.
I know right!! I came here to comment this, that was crazy impressive
As a Surgical Technologist, I see this every day but it was incredibly helpful to get more information on it. I like learning the names of the knots and tying techniques. Most surgeons tie quickly, so I can't see exactly what they are doing.
Everyone is different but I do see a lot of general surgeons use the needle driver to tie the knot.
I laughed when she yelled at him for holding the Adson's wrong, because I was thinking the same thing!
This would be a good video to reference when I go back to school for my Surgical First Assist.
Thanks for another great and accurate medical video, Annie!
Finally i can perform that appendix surgery on myself.
Phew! Good to know.
Better than the hospital bill
Leonid Rogozov, is that you?
Mad props to that Soviet doc who actually DID his own appendix surgery being stuck in a research base in Antarctica and what not.
You can find pictures of him doing this.
@@jarls5890
Link?
Logic: You will most likely never need this
My overly cautious side: JUST In case
This is me. I have this vivid dream coming back every month where i need to suture people out of nowhere. I'm not even in the medical field. I'm an art student
i blame boy scouts. the motto is "be prepared" and i took that to 11....
(yes i carry flint and steel everywhere, usually climbing rated paracord(rope), knife, sometimes a pocket survival guide, etc...)
It's better to have it and not need it then to need it and not have it.
My bed sheet needed this
@@JediSentinal dont forget water and some food in the car
She is so patient and encouraging! I wouldn't mind her talking me through performing my first open heart surgery.
Are you a Resident or a Trauma Surgeon by chance? Lol
I absolutely love Annie, she's such a great human being haha
“It’s easier, but it’s not civilized!” Love seeing how competitive and biased different medical specialties are toward one another 😂
yep, first time I heard it's uncivilized lol. We were taught to use instrument ties, both in Ob/gyn surgery and by the department chair of surgery
Veterinarians also are taught to do instrument ties > hand ties as well in their surgeries ahaha
@420 Friendly That is a deer. Much more intricate then any horse.... Also If you save that deer you will be charged with un-venisoning
"YOU PUT THE THUMB IN THE HOLE"
"JUST FOR THAT PART"
"OhHHhHhHHHH hYPOCRISY"
Basically happens with every teacher that ive had 😧😧, "dont do this, this a bad thecnice, im just doing to sepn less time to teach you 🙃
Not true. Putting your thumb in the forcep is not necessary when you're pulling a tissue or a suture but grasping tissue or ties needs to. Just to be clear for you all non surgeons
governor Hunter >implying you are a surgeon
Annie Onishi is awesome! I've seen her in several videos and I really like her personality. She seems incredibly intelligent and like she probably excels in her field but also seems kind and laid back and has a good sense of humor. And she's really good at teaching too! She explained things very clearly and patiently. Good video!👏👏👏
Her skills are phenomenal. Glad these people get taught well and understand practice
Wow when we first met Annie she was a resident and now she’s a full fledged surgeon, wow I’m emotional 🤧🤧
edit:dang I didn’t expect it to get a lot of likes but thanks (also i get that a resident is a surgeon as well, prob shoulda said board certified)
surgical residents are surgeons. they're just rookie surgeons
Michelle Frost Well I mean...residents _are_ surgeons. But I know what you mean.
Last time I checked , she liked to hide. Anne Frank joke
Ha hahahah. She pole
Mike Hascats interns aren’t allowed to do any of that stuff though
@@batsman46 surgical residents do everything that experienced surgeons do. i was a perioperative RN
I want Annie to have a continuous series! She's the best.
Yea she’s hot
@@ownthevoid 💀💀💀
@@ownthevoid 🤭
I like how at the end she made it sound like she was going to get him hungover and force him in to an active ER
16:00 Instrument ties
Her: "Not Civilized"
Me (a student going into dentistry):😳😳
"I look at yours and I see friendship. And here I see rancor and years of bitterness." LOL!! I love how he's trying his absolute best to really learn
Peter: "You put your thumb in. The hipocrisy."
Fave line. Ever.
Putting your thumb in the forcep is not necessary when you're pulling a tissue or a suture but grasping tissue or ties needs to. Just to be clear for you all non surgeons
"Sometimes you have to hurts things to heal them".
Soooooooooo true".
She’s an incredible teacher. I think a skill like this is something everyone should know in serious emergencies.
I love just how unimpressed she is with his attempts at humour
they are thoroughly unimpressive lol
I imagine she's seen and heard it all.
You can tell she has taught students. She no longer reacts to jokes like his. Also, the way she praised him when he didn’t do well sounded like a teacher talking to a student too.
she knows that if she starts laughing with him he's not going to take it seriously
She’s pretty even keel just in general
Thank God she's back, I love her and I missed her
When I saw here in the thumb I clicked so fast even though I was searching for something else.
I love you, and I miss you, uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
@@chandlersun3877 AHaHaa
same
I love how Annie looks so serious and professional, but has the best sense of humor!
These two have a fantastic energy together.
I could imagine Peter running after the patient who is checking out of the hospital yelling at the patient “stop I haven’t finished suturing you yet”.
*patient ignores Peter*
Peter: "...suture yourself."
Wired: Watch this video about tying knots
Me: no ty
Wired: Annie is in it
Me: alright sounds good let's check it out
So true lol
And I saw the entire thing
The personalities between them two remind me and my brother. Thank you so much for these videos, I've always wanted to be a nurse or surgeon.
That little "indeed" at 4:05 was perfect XD
"at this rate, it's going to heal before you finish..."
F
F
F
F
Thank god she's a trauma surgeon. She can immediately treat the burns she's handing out.
F
*crackling nuckles* should be easy for my since I attended fifteen years of Grey's Anatomy's medical school
Natalia Quiroga mood lmao
What I love about having a complete beginner being mentored is that the mistakes we are likely to make are being observed and checked, other videos just show the right way but not the mistakes to avoid... Keep up please!
“a skinny guy like you? an inguinal hernia” 😢
gotta love the subtle shade lol
"Because it's not civilized.
IT'S. NOT. CIVILIZED."
I laughed.
Hey! Instrument ties aren't cheesy! That's practically all we use in oral surgery since an entire hand doesn't fit in a patient's mouth. Sure it doesn't come out all pretty but no one will be seeing it either !
Well if they're used in a case where you can't do a normal suture then of course they aren't cheesy, but If you can do a proper suture don't take shortcuts :)
@@Nebojsa1303 shut up
I almost exclusively do instrument ties (orthopedic surgeon) and they're exactly as pretty as they need to be!
General surgeon here. The fear of instrument ties is antiquated BS. They look and are functionally exactly the same when done right. People are more likely to screw up hand thrown knots anyway.
Me always using instrument ties, to save precious suture thread.
Because veterinary surgery is not covered by any insurance 🤣
"I've never seen anything quite like this before. " had me.
The scariest thing to ever happen during surgery is when the surgeon says, “oh no..”
or "oops"
In case anyone was going to spend a creepy amount of time trying to freeze frame well enough to read her tattoo, don't worry, I did it for you. 'In Omnia Paratus' which is Latin for 'prepared in all things' or 'ready for anything.'
*Edit: Paratus, not Paratys*
@@applesas942 nah, it just felt creepy at the moment trying to find the perfect frame to read a woman's tattoo.
Gilmore girls?
Why...? Why did you...?
@@debz7958 it may have dual meaning to her if she's a fan of that show, but my thoughts went to her career as a surgeon and her personality
@@kpp28 curiosity. It's not as if she's hiding it. I also have several motto and moral tattoos important to me, so naturally I'd wanted to know what Annie has on her forearm.
I love that surgeon. I love how she slapped his hand and said "Don't do that".
i love every video she's in! she is so fun and light-hearted, great sense of humor AND she's so informative!
I would feel safe with her as my surgeon, she seems greatly skilled
15:44 "What are your pickups doing?" I love this teaching technique. Makes the student think critically about the use of tools in such a delicate procedure.
2010 : Surgery on a grape
2019 : Surgery on a banana
that surgery was to test the robot arms lol this is a human learning.
@@PG-fy2ck it's a joke
@@und3adw4ckyy pfff lol, what a "joke" lol.
lol an argument between anitials
A lot of people have done sutures on Bannana
“At this rate it’s just gonna heal on itself”
The dryness of Annie’s humor is amazing 😂
Annie you are so, so cool. Having went through my first ever general surgery posting and having--ironically-- only witnessed instrument ties... This is such a fascinating video for me.
"it's easier, but it's not civilized!"
i love her
Love how professional yet funny and attentive Annie is. I wished when I was in med school, my consultants were as great at teaching as she is. But I can't help but wants to clarifying several things
1. Surgeons do put their thumb inside the hole but to unclick the needle drive, it is easier to do it Annie's way
2. The grip on the needle driver should be using thumb and ring finger. It will be easier to control the instrument that way
3. Instrument knot is widely used even among surgeons and doing it right will give the same tight knot as tying with hand but yes I must admit it is quite uncivilised and some surgeon look down upon those who use it. I use it interchangeably according to situation. Hand tying is faster and more useful during open surgery where you need speed and precision. When suturing superficial wound with interrupted suture, doctor tends to used instrument so they don't waste a lot of the suture
But overall, I enjoyed this video, maybe Annie should run he own youtube channel about trivia surgery story or how to do simple medical stuff
How do you clean a general cut before stitching? Complete my knowledge please.
@@navinsingh1730 Jack Daniels.
Level: Easy
Me: Confused
"With this rate your this will heal before you finish" i love the burns she is giving 🔥🔥🔥
Me: not planning on entering the medical field.
Also me: starts trying medical knots because Annie said so.
Gilmore girls 😜
"If you're the operating surgeon, you can hip check people"
Spoken like a true trauma surgeon HA
The fact that the bald guy was wearing a medical hat was very intriguing.
The skin still flakes so it’ll be necessary but still weird to see
first time watching Annie and she is AMAZING she needs her own show
Peter: "Wait...wait...wait...wait..."
Annie: **vibrates**
Underrated moment in the video
8:32
16:16 "It is easier but it is not civilised."
I never expected to be called out like that in a video about surgery.
Me too
I felt personally attacked ;(
Well, be a better person. It's not nearly as hard as you think ^^
But why though? Seriously. Its effective, it works, it saves cost since you wont be billing the patient for another set of needle for just a couple of more points, saves resources in case the hospital (taxpayer) is footing the bill. So why is it considered uncivilised.
@@FaeTigre she was joking relax
*Ties a half hitch*
"I''m a doctor!"
xD
14:00 - best performance I've ever seen in all medical/hospital shows
She's definitely my absolute favourite Wired guest
I love her videos but the best guest by far will always be Jonna Mendez.
@@karynelizabeth6065 Jonna is the best! So chill and professional
Oh, did you see Eric Singer break down accents?
I love how she starts goofy but gets progressively serious as she teaches.
So much respect for these heroes! Thank you!
She’s so funny and amazing please bring her back!!
I had absolutely no reason to watch this yet I watched the whole thing. She’s such a cam teacher.
When you realize that this a fairly simple thing for surgeons and how difficult the actual difficult things are.
She teaches so well 👏🏾
*I literally have this video saved on my desktop. No particular reason, just a skill that might come in handy, and a keen but stern teacher*
I would love to see more "teaching a skill you might need" videos like this...
something about a surgical resident saying "I'm so proud of you" just gives me a rush of emotions.. We don't deserve her lol
"It's not civilized!" you can just feel the shade getting thrown
When I was 5 I fell on a metal rod for a corner and I had the metal go straight through the web of skin and muscle between my left thumb and fore finger. I was rushed gushing blood to a hospital where a doctor gave me stitches. I was drugged with pain killer but awake to watch her do the stitches. I asked her if I could sew my own hand and the doctor said no. At the time I was hurt but 18 years later, this video taught me that that Doctor did the right thing by refusing to let me help sew my hand.
I love how chill she is