Knot Tying and Suturing Primer

Pictured: My first neurosurgery case when I was an MS3 at the great Howard University College of Medicine. Placing screws into metal plates to help anchor the bone flap removed to evacuate blood from a subdural hematoma. An experience that changed my life forever.

Ever since my first neurosurgery case as a 3rd year medical student (pictured right), I knew there was nothing more exciting and rewarding than the field of surgery. I created this comprehensive primer on knot tying and suturing for not only my own further study but also to help others master the art. Whether it be preparing for your first OR experience as a medical student or you just need a quick refresher as a resident, I hope these videos will be helpful!

I built these lessons around my own tying and suturing boards but feel free to just grab a piece of string and practice on your white coat :)

Hope you will enjoy the journey! Let’s go! - Rob

For this series, I am reading “Suture like a Surgeon” by M. Mastenbjork MD and S. Meloni MD.

 

Chapter I: Intro


Chapter 2: Purpose and Basic Principles of Suturing


Chapter 3: The Surgical Knot

Part 1: Anatomy and Properties of an ideal knot


Part 2: Principles of Knot Tying


Part 3: Two Handed Ties


Part 4: One Handed Ties


Part 5: Square Knot


Part 6: Granny Knot


Part 7: Slip Knot


Part 8: Reef Knot


Part 9: Miller’s Knot


Part 10: Aberdeen Knot


Part 11: Half Blood Knot


Part 12: Forwarder Knot


Part 13: Delimar Knot


Part 14: Constrictor Knot


Chapter 4: Basics Sutures


Part 1: Simple Interrupted Suture


Part 2: Simple Running Suture


Part 3: Vertical Mattress Suture


Part 4: Horizontal Mattress Suture


Part 5: Figure-Of-8 Suture


Part 6: Interrupted Cruciate Suture/Cruciate Mattress Suture


Chapter 5: Advanced Sutures

Part 1: Hybrid Sutures


Part 2: Dermal Sutures/Subcuticular Sutures


Part 3: Purse String Suture


Part 4: Winch Suture


Part 5: Cross Suture


Part 6: Lembert Suture


Part 7: Lattice Suture


Part 8: Combined Vertical Mattress Dermal Suture


Part 9: Kessler’s Locking Loop


Part 10: Cushing Suture


Part 11: Running Pleated Suture


Part 12: Frost Suture


Part 13: Bolster Suture


Chapter 6: Post-operative care of the suture wound and complications