
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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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, PhD62,244 просмотров • 14 дней назад

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, PhD46,823 просмотров • 1 месяц назад

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, PhD19,838 просмотров • 4 месяцев назад
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