Core Surgical Skills ...

It is important to be able to select the best knot for the specific circumstances encountered during surgery, so that you can avoid potentially disastrous knot failure. In this lesson, we will explore some clinical considerations for knot tying.

Learning Objectives:

After completing this lesson, you should be able to do the following.

1. State the advantages and disadvantages of instrument ties versus hand ties, and list some common surgical applications for each.
2. Know which hand ties are best suited to different surgical scenarios.
3. Explain the indications and contraindications for the surgeon's knot.
4. Explain how monofilament and multifilament suture handles differently with respect to knot slippage when tying a square knot.