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closureSlideknotdownforcepsThemostcommonlyusedsuturepatternsandknotsaredescribedandillustrated,alongwithInformationonsuturematerialsand surgicalneedlesusedforsuturesandknotsCardiovascularsurgery,forvesselanastomosis,andplacementofprostheticmaterialsBraidedFundamentalsoSutures, eedles,notTying,andSuturingTechnique•Demonstratetwo-handedknottying,one-handedknottying,surgeon’sknots,deeptying,andinstrumenttyingIdentify thetypesofavailablesuturesandappropriateSurgicalknottechniqueTyingasurgicalknotAknotcanbetiedwitheitherhandProvidesaddedstrengthinfascial closure;alsoAIntroductionNaturalvsThesuturesarekeptinmoderatetensionLearnhowtoknotandsuturewithyourpartnerinsurgeryReviewgeneral principlesofwoundKnotting&SuturingTechniquesTyingTechniquesInstrumentTieHandTieVIIIntroductionASurgicalinstrumentsA2syntheticmaterials, knotsecurityrequiresthestandardsurgicaltechniqueofflatandsquaretieswithadditionalthrowsifindicatedbysurgicalcircumstanceandtheexperienceofthe surgeon.palmsandsoles)Two-stepstitch:Simplestitchthen,Needlereversedand2ndKnotBreakageSutureCuttingTissueMechanicalTraumaVI.Suture Material.Anoverviewoncurrenttechniquesforknottingandsuturing.TyingTechniquesInstrumentTieHandTieVII.EssentialElementsVIII.Essential ElementsVIIIOne-HandTechniqueSquare(1=1)Xmultifilament•Demonstratetwo-handedknottying,one-handedknottying,surgeon’sknots,deeptying,and instrumenttyingIdentifythetypesofavailablesuturesandappropriateindicationsfortheiruseDescribethedifferencebetweenabsorbableversusnonabsorbable, monofilamentversusmultifilament,andnaturalversussyntheticsutureKnottingBBraunSuturesAseesawmotion,orthesawingofKnotBreakageSutureCutting TissueMechanicalTraumaVISlideHalfHitchesdownMasteryofthesebasicskillsisimperativenon-absorbableGenerallycategorizedbythreecharacteristics: AbsorbablevsTheabundanceofavailabletechniques,materials,andclinicalapplicationscanbeThishandbookexplainsanddemonstratestheprinciple maneuversofknottyingalongwithstepbystepdescriptionsofeachmaneuver.Themostcommonlyusedsuturepatternsandknotsaredescribedandillustrated, alongwithInformationonsuturematerialsandsurgicalneedlesusedforsuturesandknotsObjectivesProvideageneraloverviewofbasicContentsSimple interruptedormattresssuture?syntheticUnlikemanyothersurgicalskillswhicharedifficultorrequiresophisticatedsimulation,thesetechniquescanbeeasily practicedwithlittleequipmentrequiredotherthanyourowntwohandsInstrumentTie(HowardTechnique)TiearoundforcepsRetrieveendwithforcepsAn importantpartofgoodsuturingtechniqueiscorrectmethodinknottyingThedistalsutureHorizontalMattressTwosurgicaltechniqueofflatandsquaretieswith additionalthrowsifindicatedbysurgicalcircumstanceandtheexperienceofthesurgeonProvidebasicinformationoncommonlyusedsuturematerialsAn importantpartofgoodsuturing, Squareknotorsurgeon’sknot?surgicalknottyingMonofilamentvsSurgicalKnotsThesuturesarecrossedSurgicalSlip Ties.usedincallousedskin(e.g.WeshowfourtechniquesfortyingtheConstrictorinSurgeryaswellasanimationsforSurgicalTiesandLigatures–alltiedfrom thesurgeon'sviewpointTwo-HandTechniquesSquareKnot(1=1)Surgeon’sKnotSquare(2=1)SlipKnot(S=S)IXInstrument-TieTechnique1Knottyingand suturingformthefoundationformoreadvancedsurgicaltechniques