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WithAScalpel - Fumiya Yoneyama, MD, PhD

@WithAScalpel • 7,489 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.

75,476 views

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.

33,021 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 🇺🇸

163,874 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.

57,259 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

44,104 views

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 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

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

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.

26,209 views

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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
0:33
WithAScalpel's profile picture

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

513,371 views • 2 months ago

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

64,163 views • 3 months 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 • 4 months ago

Arterial Switch Operation💞
1:44
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Arterial Switch Operation💞

WithAScalpel - Fumiya Yoneyama, MD, PhD

26,036 views • 3 months 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

19,933 views • 7 months ago

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