Name:
Kantor Atlas 2e- Video 4-10 - 18490065
Description:
Kantor Atlas 2e- Video 4-10 - 18490065
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/7c1cb30a-7fc4-482b-950a-624c197390a9/thumbnails/7c1cb30a-7fc4-482b-950a-624c197390a9.jpg?sv=2019-02-02&sr=c&sig=cUIzQxGm0%2B8LOGUi%2BxcjbjEvboI1ZYAKs%2FE6dNESRt8%3D&st=2023-11-30T10%3A19%3A05Z&se=2023-11-30T14%3A24%3A05Z&sp=r
Duration:
T00H02M24S
Embed URL:
https://stream.cadmore.media/player/7c1cb30a-7fc4-482b-950a-624c197390a9
Content URL:
https://asa1cadmoremedia.blob.core.windows.net/asset-61da20ce-d3a1-4b53-9c6f-4cc669492dfa/KantorAtlas 4-09.mov
Upload Date:
2022-03-18T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
The percutaneous set-back dermal suture skin is reflected back, if possible. If not, that's alright. The needle is inserted from the underside of the dermis, directly up, piercing through the skin, through the epidermis. Suture material is gently pulled through. Needle is then reloaded. This time the needle is going to be reloaded in a backhand fashion, to make things a little bit easier in terms of the next steps.
Suture material is pulled through. Skin edge is gently grasped, if possible. Needle is reinserted again, straight down through the epidermis, exiting deep on the underside of the undermined dermis, reloaded immediately, and, again, inserted on the contralateral side moving straight up through the skin, exiting.
The needle is then reloaded in a standard fashion, and is inserted just lateral to its exit point, exiting again through the undermined undersurface of the dermis, and pulled through. An instrument tie is then performed. Notice the dramatic wound eversion seen with this technique.
You may also notice that the wound edges do, because of the dramatic eversion, tend to pull a little bit away from each other. Several options are available with this approach. One is to simply place a small simple interrupted suture over this area to bring the wound edges into better apposition. The other is, as with the butterfly suture, to reverse-bevel the wound edges prior to closure.