SURGERY KNOTS

Surgical Knot Tying

This section is prepared by Medical Faculty students; Katarina Randjelovic and Stefan Ilic of University of Nis, Serbia and supervised by Prof. Evrim Erdemoglu.

3 Do NOT’s of Surgical Knots for Security

  1. DO NOT use excessive force
  2. DO NOT snatch the strands together during tightening the knot.
  3. Do not grasp threads with metal instruments (except the the tip of thread where you will excise)

Wise Advice

Chose the knot that is chosen by your consultant.
Flow naturally and seem relaxed, automatic.

It is not only a matter of knot forming, but it is of utmost importance, how you pull the ends and bed the knot on the wound.

Be gentle but create sufficient tension.

Move towards base; do not pull the wound base and structures up.

SURGERY KNOTS

One-Handed Knots- Katarina Randjelovic:
Type A:
Starting position: hold the thread with 3th, 4th and 5th finger
Index finger and thumb make the shape of the letter ‘c’.
Making a bridge with first tail
Roling second tale around index finger
Putting through and rotate index finger
Pulling out the thread
Tighten up with help of index finger pulling first tail up.

Type B:
Starting position: hold the thread with your index finger and thumb
Put your 3th and 4th finger under the first tail of the thread
Cross fingers with second tail in opposite direction
Pull the second tail with the middle finger, move the middle finger up so that the first tail is between middle and 4th finger
Pulling out the thread
Tighten up with help of index finger pulling first tail down.

Two-Handed Knots- Stefan İlic:
Crossing- If you hold upper end with your right hand, you start with your index finger (type A), if you hold lower end, you start with thumb (type B).

Type A (index finger)
Starting position: hold the thread with 3th, 4th and 5th finger making a ‘’handgun’’
İnternal rotation with index finger
Cross index finger with second tail in opposite direction
Connect the index finger and thumb
Push the thumb through the suture circle
Pick up tail and push back through suture circle
Tighten up with help of index finger pulling first tail down.

Type B (thumb)
Starting position: hold the thread with 3th, 4th and 5th finger making a ‘’handgun’’
External rotation with thumb
Cross thumb with second tail in opposite direction
Connect the index finger and thumb
Push the index finger through the suture circle
Pick up tail and push back through suture circle
Tighten up with help of index finger pulling first tail up.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s