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WithAScalpel - Fumiya Yoneyama, MD, PhD

@WithAScalpel • 6,985 subscribers

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

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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 🇺🇸

31,707 views

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

43,490 views

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 🇺🇸

162,568 views

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.

56,596 views

🧵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 views

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.

26,070 views

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 views

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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.
0:20
WithAScalpel's profile picture

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

62,244 views • 14 days ago

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
0:20
WithAScalpel's profile picture

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 views • 1 month ago

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.
0:59
WithAScalpel's profile picture

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

19,838 views • 4 months ago

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