Name: Kantor Atlas 2e- Video 5-20 - 18490149

Description: Kantor Atlas 2e- Video 5-20 - 18490149

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Duration: T00H03M26S

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Upload Date: 2022-03-18T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
The running vertical mattress suture is a running everting suture technique. First the anchoring suture is placed. This is again placed as a vertical mattress suture. Far to far and then near to near. Now at this point, classically, if this were a standard vertical mattress suture, we would simply tie off the suture and be done.
Since this is a running technique, after placing the near-near stitch, suture material is indeed tied. And if desired, or if necessary, the short tail can be trimmed. At this point, the needle is reloaded and moving priximally towards the surgeon, the next far to far bite is taken.
Far to far, needle pulls through, needle is reloaded in a backhand fashion. And the near-near bite is now taken. At this point, the needle is simply reloaded again in a standard fashion and moving again proximally towards the surgeon a far-far bite is taken.
Again, the needle is reloaded in a backhand fashion, and the near to near bite is taken. And thus with this technique, after each near-near bite, instead of tying off the suture, we simply move proximally towards the surgeon and take another far-far bite. The net result of this approach is that we are left with an entire row of vertical mattress sutures leading to excellent wound eversion.
Once the end of the wound is reached, of course, we can simply tie off the suture material. This can be done as I'm demonstrating here by leaving a loop at the penultimate throw taking the near-near bite here, pulling this through, keeping that loop relatively trim, simply for practicality purposes, and tying it off like so.
This technique therefore yields excellent wound eversion, as you can see, with multiple rounds of vertical mattress sutures placed.

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