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Vertical Mattress Suture BMJ Learning
>> YOUR LINK HERE: ___ http://youtube.com/watch?v=aKwrhjVd-fg
Video from BMJ Learning | Basic practical skills: practical suturing techniques - complete the module here: http://bit.ly/SuturingTechniques • • Common clinical procedure videos also available at BMJ Best Practice: http://bit.ly/ClinicalProcedures • • 3D Animation of the vertical mattress suture technique • • In the emergency department vertical mattress sutures are used for simple closure of wounds, including contaminated wounds following trauma. They are particularly useful when the wound requires more tension to bring together the skin edges, or for thin skin where this technique helps evert the skin edge effectively. In the operating theatre they may also be used for hand sewn bowel anastomoses. • 00:02 Hold the needle holder correctly • 00:15 Always use the instruments to pick up the needle • 00:20 Use the forceps to position the needle • 00:25 ⅔’s along from the point of the needle • 00:30 Small wounds • 00:40 Take a slightly larger bite than normal • 00:44 Start vertical mattress suture • 00:50 Rotate the needle smoothly • 01:10 Prepare for the backhand part of the mattress suture • 01:27 Backhand technique • 01:41 Standard knot • 01:45 Double forward throw • 02:01 Single backwards throw • 02:17 Squared knot • 02:26 Equally spaced vertical mattress sutures • 02:30 Dispose of all sharps safely
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