Learning Surgical Technique: Basic Skills

✍ Scribed by Alexandr Ivanovich Lemeschewskij

• Publisher: Independently published
• Year: 2020
• Tongue: English
• Leaves: 198
• Edition: 1
• Category: Library

✦ Synopsis

This Practical Guide for the development of the surgeon's hands offers a detailed introduction to basis surgery, together with a series of exercises. It can be used to accompany the early stages of a training in surgery, for reference and practice in later stages, and will also be useful to surgeons with practical experience who want to systematize their knowledge and improve their skills. Starting from initial exercises to develop finger and hand dexterity, the book moves on to detailed explanations of loops, knots and sutures, instructions in the handling of surgical instruments, and an overview of suture materials. The explanations are designed to be simple and clear, and each explanation is accompanied by a diagram. The exercises will foster all of the key hand skills that are essential for work in the operating theatre: accuracy, coordination, confidence, plasticity of movement, strength, endurance, correct hold of surgical instruments, etc. Treated as a course of study with adequate time devoted to the exercises, the book can be worked through in three to four months, assuming 20 to 30 minutes of study and practice each day.

✦ Table of Contents

Introduction
TOPIC 1.
First Exercises. Training Apparatus. Training Plan
Training With Matches
Preparing A Training Apparatus
Selection Of A Surgical Clamp For Training
First Exercises With A Surgical Clamp
Using A Surgical Clamp In Match Exercises
Gripping Threads
Training Recommendations
TOPIC 2.
Loops And Knots
The Concept Of Loop And Knot
Right And Left Loops
Rule Of Loop Alternation
Complex Loops
Coding Of Loops And Knots
Thread Hold And Loop Direction
Rule Of Thread Movement
Hand Pronation And Supination
TOPIC 3.
Front And Rear Techniques Of Loop Formation
Techniques Of Loop Formation
Steps In Loop Formation
Gripping And Holding The Threads In Front And Rear Loop Formation
Front Technique Of Loop Formation
Tightening Of A Loop
Rear Technique Of Loop Formation
Combination Of Front And Rear Techniques
The Principle Of Alternation Between Techniques In Loop Formation
TOPIC 4.
Use Of A Clamp In The Front And Rear Techniques Of Loop Formation
Front And Rear Techniques Of Loop Formation With The Left Hand Using A Surgical
Clamp
Front Technique For The Left Hand Using A Clamp
Rear Technique For The Left Hand Using A Clamp
Summary
TOPIC 5.
Making A Complex Loop By The Front And Rear Techniques
Second Loop
Front Technique Of Complex Loop Formation
Rear Technique Of Complex Loop Formation
TOPIC 6.
Lower And Lower Mirror Techniques Of Loop Formation
Lower Mirror Technique
Lower Technique
Alternation Of Loop Formation Techniques
The Single-Step Technique Of Complex Loop Formation
TOPIC 7.
Loop Creation By The Wind-Around Method
The Wind-Around Method Using A Surgical Clamp
Making Complex Loops With A Surgical Clamp By The Wind–Around Method
Use Of Two Clamps To Make Loops With A Short Thread
TOPIC 8.
Various Types Of Knot
Running Simple Knot
How To Make A Running Simple Knot
Aberdeen Knot
Terminating A Continuous Suture
Roeder Knot
Sliding Knot
TOPIC 9.
Direction Of Loop Tightening, Positioning Of Knots
Methods And Directions Of Loop Tightening
Changing The Direction Of Loop Tightening
Position Of Knots In A Simple Interrupted Suture
Shifting A Loop With The Index Finger
TOPIC 10.
Securing And Releasing The Thread With The Clamp, Securing The Thread With
The Clamp
Thread–In–Clamp
Carrying The Thread With A Clamp
Removing Clamp In Any Position
TOPIC 11.
Use Of Scissors And Scalpel
Balancing With Scissors
Use Of Scissors With The Left Hand
Cutting Suture Material With Scissors
Cutting Tissue With Scissors
Selection Of A Scalpel
Attaching The Blade To The Handle
Making An Incision With A Scalpel
Skin Incision With A Triangular Scalpel
TOPIC 12.
Suture Material
Packaging Of Suture Material
Composition And Properties Of Threads
Thread Structure
Thread Diameter
Number Of Loops In A Knot
Surgical Needles
Opening The Packet, Taking Out The Suture Material
TOPIC 13.
Using A Needle Holder And Forceps
How To Grip The Needle Holder
Position Of The Needle In The Needle Holder
Fixing The Needle In The Needle Holder
Attaching Thread To A Needle With An Open Eye
Turning The Needle In The Needle Holder
Use Of Forceps
TOPIC 14.
Various Types Of Suture
Adaptation Of Wound-Edge Rules
Simple Interrupted Suture On The Skin
Removal Of A Simple Interrupted Suture
Path Of The Needle In Tissue
Vertical Mattress Suture (Donati Suture)
Removing A Donati Suture
Fixation Of A Drainage Tube To A Stitch
Continuous Intradermal Suture
Removal Of An Intradermal Continuous Suture
Purse–String, Semi-Purse-String And Z-Shaped Sutures
TOPIC 15.
Surgical Scrubbing
Conclusion
Answers To Test Questions And Tasks
References

✦ Subjects

Surgery; Surgical Techniques; Medical Education & Training