Name:
KantorAtlas 4-23
Description:
KantorAtlas 4-23
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/71652142-cb4b-4441-a455-c89c6678d889/videoscrubberimages/Scrubber_1.jpg?sv=2019-02-02&sr=c&sig=O5Dom8xCfRXOx9J5AfLgwEfaVQ0MrywZZfHbLGHWHIs%3D&st=2024-09-08T00%3A05%3A36Z&se=2024-09-08T04%3A10%3A36Z&sp=r
Duration:
T00H02M57S
Embed URL:
https://stream.cadmore.media/player/71652142-cb4b-4441-a455-c89c6678d889
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/71652142-cb4b-4441-a455-c89c6678d889/KantorAtlas 4-23.mov?sv=2019-02-02&sr=c&sig=pqQ8WGQ0vI3cjeoQ3QfJDVdtCAt2Mmf8gU%2FMCwmRGFM%3D&st=2024-09-08T00%3A05%3A36Z&se=2024-09-08T02%3A10%3A36Z&sp=r
Upload Date:
2022-04-01T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
[Dr. Kantor] Okay so this is the modified buried horizontal mattress suture. This is really a niche technique, really don't use this a lot but certainly it's good to include for completion purposes, for completeness, and what we do here is we start out with the needle loaded in a backhand fashion as you can see here. And we reflect back the skin taking that first bite essentially as a backwards set-back suture.
So a setback suture you'd be loaded forehand coming from far to near, right? Coming from far or set back away from the wound edge towards the wound edge. Here we're going the other way around, we're going in just at the underside of the wound edge really close to the undermined edge, really close to the wound edge, and we're going to come out a little further away and take a nice bite there like that.
Okay? So you're going to take that bite there and then we're going to do a mirror image version of it. We're going to reload in a forehand fashion now and then we're going to reload just distal to it here doing the same thing again essentially. So that's really just like a setback suture. And again, if you get any kind of crossing, if you get any suture in your loops it's easy enough to fix that, actually a lot easier in real life than it is with this kind of sticky fake skin that I'm working with here.
And you're going to pull through so you've kind of created one half of that horizontal splint. And now you're going to do the same thing on the other side, reloading in a forehand fashion, reflecting back, taking a bite, again, essentially like a backward setback suture bite. We'll do that on the other side. Pull that through and then again for our final bite we're going to reload again in a backhand fashion and we pull through.
And again, you can always check and make sure that you don't have too much crossing of the suture material and if you do, just kind of correct it to make sure. All right and then here, for example, I'm just trying to do this for demonstration purposes. Let's say you're caught here with a loop and you're on the other side of the loop, all you do is just pull that suture through.
That's why you don't want to tighten too quickly, because you want to make sure you've really built the splint in the most appropriate way. And then again, as I said for that last bite you're going to reload again in a backhand fashion and then you're going to reflect back again and you're going to take it just approximately, you're going to be right next to where you kind of built that last suture splint.
And now go back in essentially like a setback suture on the other side. You're going to come out, come through, pull through. And now what you can see if you reflect this back, as you can see you've got this built, but again, there is no crossing of the suture. And then when you go ahead and you tie you're going to have built a really nice horizontal ridge here for a really nice wound edge eversion that's going to be very dramatic like that.