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There was a considerable amount of on-the-job training which included patient care, instrument sterilization, draping procedures, instrumentation and sutures. But, I will say that I never forgot what that tech said to me; this one comment affected my whole career in the operating room.
The huge incision evolved into a Z-plasty flap and closure. He was able to carry out all the subcuticular and skin suturing for the lower half of the flap while the surgeon closed the upper half. Although many individual organizations offer the opportunity to volunteer in a surgical missions, not all accept SAs.
A carotid endarterectomy is a procedure where the surgeon makes an incision along the neck and opens up the carotid artery to remove plaque or other debris blocking the blood flow. He used at least four 7-0s as tacking sutures. I have a few suture boots loaded on my small curved mosquitos so the prolene doesn’t get ruined.
She’ll use it to make the incision bigger. I always keep my Vicryl loaded so if she wants the Weck or the McGlone facial closure device I can just take my scissors & cut the needle off (and the needle will be left in my suture counter) & I can take the suture & place it on my weck or facial closure device easily.
One of the things I always do is load up my suture so it’s ready! So when she asks for suture to fix the bowel I have it ready to hand to her! This is one of my older setups where you can see I have my Silk pop-off suture ready to go. A vertical midline incision will be made with a 10 blade. I’ll post a few.
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