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Brainiac Breakdown
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Welcome to Brainiac Breakdown, the ultimate channel for all types of medical and surgical education! Whether you're a student, a professional, or simply curious about the fascinating world of healthcare, we've got you covered. Our mission is to break down complex medical concepts and surgical procedures into easy-to-understand, engaging content. With in-depth explanations, step-by-step tutorials, and expert insights, Brainiac Breakdown will help you level up your knowledge, boost your skills, and stay ahead in the ever-evolving field of medicine. Join us on this journey to master the brain and body, one breakdown at a time!
Transcript
00:00Good morning and welcome to our two minutes to be a good doctor. Today we are
00:05going to see a new technique called palming technique. So a lot of surgeons
00:10are using it but still it is very rare among the local doctors. So we'll see how
00:18this can be used very effectively. I'm going to show you some instruments now.
00:22We look at those instruments here. We have some needle holders of various
00:28sizes and some thumb faucets. Now we'll get into the nitty-gritty of what it is
00:34all about. So we're going to see the palming technique now. You can see how
00:40I'm holding the needle holder. My phenol eminence is on one aspect of the ring
00:46and my three fingers are on another aspect of the ring and my index finger is
00:51there on the other end to stabilize the needle holder. So when we are doing a
00:55suture in techniques we knew two things. One is precision and at times power to
01:00take a good bite. So when you don't have precision and when you're walking all over
01:06the place your needle tends to move different ways and damage the tissue.
01:11Many people tend to hold the needle holder this way which is wrong. All your
01:16finger in hand you're going to move it a lot. Then one of the other techniques
01:21people use is this is fairly elegant. Most surgeons use it and you can see the
01:27finger is not fully inserted into the ring and you can still move it and do it.
01:32But still many people when they do they'll go they'll take a bite like this
01:37they'll come back and then open the needle holder. So you see the amount of
01:42movement which is needed when you're doing this. So this what you're seeing now is
01:46called the palming technique. I have the needle holder. Imagine I'm taking a bite
01:51I'm going to open. I've opened. I've closed. I've opened. I've closed. I've opened. I've closed.
01:58I've opened. I've closed. Now I'll do a demo where we can do the suturing without much
02:05movement on a small model. You can now see how the suturing is done. Imagine this is the
02:14tissue. I'm going down. I'm taking a bite. I'm coming around. I've just opened the needle holder.
02:24I'm pulling it up. I held it again. I close the rasier. I'm back. So I can go back the same way
02:34without much movement. And I just go in. I take a bite. I push. I pull. I come out.
02:44Without much of any damage to the tissue. This particular technique I can show again. It's a
02:52palming technique. Any surgeon can learn. And you can open it any number of times. And you also don't
02:59damage the needle holder because you're very gentle with the needle holder as well. So this is for
03:05everyone to learn. It's a simple technique. It's a lovely technique. I have one of my friends who's
03:10learned the technique from Madurai. He's one of the top plastic surgeons in the United States.
03:14He still uses it. And he says it impresses a lot of surgeons there. So thank you very much
03:20for your patient watching and more videos shortly. Thank you very much. Bye-bye.
03:24Get your glove back into a basement. Aim. And fire.
03:32Get your glove back into a basement.
03:36Move that into a basement.
03:48Get your glove back into a basement.
03:50Get your glove back.
03:54Yes.