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WithAScalpel - Fumiya Yoneyama, MD, PhD

@WithAScalpel • 7,665 subscribers

Cardiac Surgeon | Assistant Professor | @TexasChildrens | Visual insights in surgery, cardiology & intensive care | Views my own

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Surgical Hand Coordination — Building Precision Through Daily Practice! 👍 👉Finger dexterity and bimanual coordination underpin controlled needle handling, tissue manipulation, and knot tying. 👉Short, focused daily drills refine movement economy, precision, and reproducibility for operative performance.

Surgical Hand Coordination — Building Precision Through Daily Practice! 👍 👉Finger dexterity and bimanual coordination underpin controlled needle handling, tissue manipulation, and knot tying. 👉Short, focused daily drills refine movement economy, precision, and reproducibility for operative performance.

75,773 Aufrufe

Simple Surgical Practice—No Expensive Simulator Required💪🏅 👉High-quality surgical practice does not always require sophisticated simulation models—basic materials can be enough to refine needle handling and running sutures. 👉Spare surgical needles (in the OR!) with Kleenex or simple cloth provide an accessible way to repeatedly practice hand control, spacing, bite depth, and suture rhythm.

Simple Surgical Practice—No Expensive Simulator Required💪🏅 👉High-quality surgical practice does not always require sophisticated simulation models—basic materials can be enough to refine needle handling and running sutures. 👉Spare surgical needles (in the OR!) with Kleenex or simple cloth provide an accessible way to repeatedly practice hand control, spacing, bite depth, and suture rhythm.

33,069 Aufrufe

Continuous Over and Over Sutures: 👉Behind every reliable suture line is the same foundation: spacing, needle angle, tension, and repetition. 🎥With 7-0 Prolene (BV175-6, 8.0 mm, 3/8 circle) RedCiruAndes Fac. Medicina y Ciencias de la Salud - Uniandes Uniandes Fundación Santa Fe de Bogotá Paula Ferrada MD FACS FCCM MAMSE Steven D Wexner MD, PhD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

Continuous Over and Over Sutures: 👉Behind every reliable suture line is the same foundation: spacing, needle angle, tension, and repetition. 🎥With 7-0 Prolene (BV175-6, 8.0 mm, 3/8 circle) RedCiruAndes Fac. Medicina y Ciencias de la Salud - Uniandes Uniandes Fundación Santa Fe de Bogotá Paula Ferrada MD FACS FCCM MAMSE Steven D Wexner MD, PhD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

163,874 Aufrufe

Running Suture — Rhythm, Spacing, and Tension 👉Advance with a steady rhythm, keeping each bite depth and interval consistent. 👉Maintain even tension along the suture line to avoid puckering and ensure a smooth closure.

Running Suture — Rhythm, Spacing, and Tension 👉Advance with a steady rhythm, keeping each bite depth and interval consistent. 👉Maintain even tension along the suture line to avoid puckering and ensure a smooth closure.

57,342 Aufrufe

How to handle the needle WITH using your hands🤲! Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 American College of Surgeons BJS Academy Paula Ferrada MD FACS FCCM MAMSE Julio Mayol

How to handle the needle WITH using your hands🤲! Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 American College of Surgeons BJS Academy Paula Ferrada MD FACS FCCM MAMSE Julio Mayol

44,104 Aufrufe

Multi-Directional Needle Control — Eiji-happō in Calligraphy🖋️ 👉X-shaped or figure-of-8 sutures require the needle to move precisely across multiple directions and planes. 👉Like Eiji-happō in calligraphy, surgical precision begins with mastering direction, rhythm, and balance. Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE American College of Surgeons BJS Academy RedCiruAndes Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

Multi-Directional Needle Control — Eiji-happō in Calligraphy🖋️ 👉X-shaped or figure-of-8 sutures require the needle to move precisely across multiple directions and planes. 👉Like Eiji-happō in calligraphy, surgical precision begins with mastering direction, rhythm, and balance. Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE American College of Surgeons BJS Academy RedCiruAndes Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸

32,451 Aufrufe

🧵Knot tying: Learn—and practice, practice, practice! 💪 Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Ron Barbosa MD FACS Julio Mayol Steven D Wexner MD, PhD RedCiruAndes Dr Luis Felipe Cabrera Vargas MD FACS

🧵Knot tying: Learn—and practice, practice, practice! 💪 Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Ron Barbosa MD FACS Julio Mayol Steven D Wexner MD, PhD RedCiruAndes Dr Luis Felipe Cabrera Vargas MD FACS

39,629 Aufrufe

Surgical Technical Skill: 👉At every stage—medical student, resident, fellow, attending—the fundamentals are the same: train intentionally, practice daily, and keep patient safety at the center. 🎥 (10 cm depth, BV-175-6 [8 mm, 3/8c], 8-0 suture)

Surgical Technical Skill: 👉At every stage—medical student, resident, fellow, attending—the fundamentals are the same: train intentionally, practice daily, and keep patient safety at the center. 🎥 (10 cm depth, BV-175-6 [8 mm, 3/8c], 8-0 suture)

39,449 Aufrufe

Eight-Direction Needle Driving 👉Eiji Happō (永字八法) is a calligraphy concept in which the character 永 contains the eight fundamental brush directions. 👉The same principle can be applied to needle work: the needle should move smoothly and intentionally in multiple directions.

Eight-Direction Needle Driving 👉Eiji Happō (永字八法) is a calligraphy concept in which the character 永 contains the eight fundamental brush directions. 👉The same principle can be applied to needle work: the needle should move smoothly and intentionally in multiple directions.

26,287 Aufrufe

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Surgical Simulation—From Basic Skills to Procedure-Specific Practice🎥 👉Repetitive practice of fundamental skills—needle handling, suture placement, and knot tying—builds the precision and economy of motion required in cardiac surgery. 👉Procedure-specific models, such as VSD patch closure, allow these basic skills to be integrated into a realistic operative sequence before performing them in the operating room.

Surgical Simulation—From Basic Skills to Procedure-Specific Practice🎥 👉Repetitive practice of fundamental skills—needle handling, suture placement, and knot tying—builds the precision and economy of motion required in cardiac surgery. 👉Procedure-specific models, such as VSD patch closure, allow these basic skills to be integrated into a realistic operative sequence before performing them in the operating room.

WithAScalpel - Fumiya Yoneyama, MD, PhD

51,186 Aufrufe • vor 2 Tagen

End-to-End Vascular Anastomosis 🤝🪡 👉Start the back wall first with controlled forehand bites, maintaining equal depth and spacing to prevent purse-string narrowing. 👉Using the opposite needle from the other side helps complete the circumference while managing diameter mismatch and graft alignment. Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE American College of Surgeons Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy RedCiruAndes

End-to-End Vascular Anastomosis 🤝🪡 👉Start the back wall first with controlled forehand bites, maintaining equal depth and spacing to prevent purse-string narrowing. 👉Using the opposite needle from the other side helps complete the circumference while managing diameter mismatch and graft alignment. Dr Luis Felipe Cabrera Vargas MD FACS Steven D Wexner MD, PhD Paula Ferrada MD FACS FCCM MAMSE American College of Surgeons Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 BJS Academy RedCiruAndes

WithAScalpel - Fumiya Yoneyama, MD, PhD

536,810 Aufrufe • vor 2 Monaten

Free-Hand Suturing—Control of the Arm, Hand, and Fingers🕊️ 👉In deep or restricted operative fields, there may be no place to rest the arm or hand, requiring precise suturing while keeping the upper limb suspended. 👉Accurate needle handling depends on coordinated control of the arm, hand, and fingers even without a fixed resting point.

Free-Hand Suturing—Control of the Arm, Hand, and Fingers🕊️ 👉In deep or restricted operative fields, there may be no place to rest the arm or hand, requiring precise suturing while keeping the upper limb suspended. 👉Accurate needle handling depends on coordinated control of the arm, hand, and fingers even without a fixed resting point.

WithAScalpel - Fumiya Yoneyama, MD, PhD

18,452 Aufrufe • vor 8 Tagen

One-Handed Needle Control 👉One-handed push-and-pull motion guides the needle smoothly. 👉Gentle rotation and precise needle-driver control allow subtle adjustment of the needle direction. 👉A simple drill for refining needle advancement without forceps support.

One-Handed Needle Control 👉One-handed push-and-pull motion guides the needle smoothly. 👉Gentle rotation and precise needle-driver control allow subtle adjustment of the needle direction. 👉A simple drill for refining needle advancement without forceps support.

WithAScalpel - Fumiya Yoneyama, MD, PhD

64,163 Aufrufe • vor 3 Monaten

Coronary Artery Anastomosis🪡🤏 👉Precise needle angle, symmetric bites, and gentle tissue handling.

Coronary Artery Anastomosis🪡🤏 👉Precise needle angle, symmetric bites, and gentle tissue handling.

WithAScalpel - Fumiya Yoneyama, MD, PhD

34,457 Aufrufe • vor 2 Monaten

Respect the Tissue: A Fundamental Principle 👉Excellent threads by Ron Barbosa MD FACS showing how refined needle control preserves delicate tissue. 👉In grasping, needle driving, suturing, and tying, respect for tissue is essential. 🎥"Coronary artery bypass anastomosis": the coronary artery is paper-thin and fragile. Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Ron Barbosa MD FACS Julio Mayol Steven D Wexner MD, PhD RedCiruAndes Dr Luis Felipe Cabrera Vargas MD FACS

Respect the Tissue: A Fundamental Principle 👉Excellent threads by Ron Barbosa MD FACS showing how refined needle control preserves delicate tissue. 👉In grasping, needle driving, suturing, and tying, respect for tissue is essential. 🎥"Coronary artery bypass anastomosis": the coronary artery is paper-thin and fragile. Paula Ferrada MD FACS FCCM MAMSE Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Ron Barbosa MD FACS Julio Mayol Steven D Wexner MD, PhD RedCiruAndes Dr Luis Felipe Cabrera Vargas MD FACS

WithAScalpel - Fumiya Yoneyama, MD, PhD

46,823 Aufrufe • vor 5 Monaten

Arterial Switch Operation💞

Arterial Switch Operation💞

WithAScalpel - Fumiya Yoneyama, MD, PhD

26,036 Aufrufe • vor 3 Monaten

End-to-Side Vascular Anastomosis: End-to-side anastomosis hinges on alignment and gentle handling. Size the arteriotomy, define heel and toe, then secure the far wall first to lock orientation. Use symmetric bites with uniform spacing, maintain tension, avoid intimal catching, and seat knots without strangulation.

End-to-Side Vascular Anastomosis: End-to-side anastomosis hinges on alignment and gentle handling. Size the arteriotomy, define heel and toe, then secure the far wall first to lock orientation. Use symmetric bites with uniform spacing, maintain tension, avoid intimal catching, and seat knots without strangulation.

WithAScalpel - Fumiya Yoneyama, MD, PhD

19,933 Aufrufe • vor 7 Monaten

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