BASIC SURGICAL SKILLS

COURSE

dr. Asep Hermana, SpB,

FINACS, FICS

Purnama Hotel
Kuningan
13 th October
 AIMS

INSTRUMEN
HANDLING
SUTURE MATERIAL

KNOTTING &
SUTURING
INCISION
 AIMS

To learn one The course Acquire good

safe way should habits
to do a instructive earlier it
surgical education is difficult
procedure al AND to unlearn
. enjoyable bad habits
F E JOY IT S
SA EN B
HA
 SAFETY FIRST !

NEVER DIRECTLY
HANDLE SHARPS
WITH YOUR FINGERS
(i.e. blades or
needles)
.Pass sharps in a
kidney dish to your
assistant / nurse
Safety of all is
responsibility of
operating surgeon
SAFETY FIRST !

Always dispose
of sharps in a
sharps bin
not on
patient or
operating
table!
In case of injury
assess the
injury
assess
patient
status
BASIC SURGICAL SKILLS
COURSE

INSTRUMEN HANDLING
 INSTRUMEN HANDLING

PRICIPLES
BASIC
PRINCEP
1 Safety
LE
2 Economy of movement
3 Relaxed handling
4 Avoidance of awkward
movement
 INSTRUMEN HANDLING

Cutting Instruments:
Scalpel
- attachment
- detachment
- holding - like a table knife
- like a pen
- cutting
- passing the scalpel in a kidney dish
INSTRUMEN HANDLING
INSTRUMEN HANDLING
 INSTRUMEN HANDLING

Cutting Instruments:
Scissors (2 types) - holding
- cutting
INSTRUMEN HANDLING
 INSTRUMEN HANDLING

Holding Instruments:
Forceps (toothed and non-toothed) -
holding

Artery Forceps

Needle Holders
INSTRUMEN HANDLING
INSTRUMEN HANDLING
BASIC SURGICAL SKILLS
COURSE

KNOTTING
 KNOTTING

Knotting
Knot-tying is a fundamental
technique in surgery, and is often
performed badly

Take time to perfect your knotting

technique

Uses of knots:
Tying sutures
Ligation (tying vessels)
 KNOTTING

KNOTTING PRINCIPLE
FIRM
SMALL MUST
RIGHT MATERIAL

NOT SAW
NO NO DAMAGE
NO TEAR TISSUE
NO EXCESSIVE
TENSION
 KNOTTING

Types of Knots
Reef / Square Knot - one hand
- two hands
- instrument tie
Surgeons Knot - one hand
- two hands
- instrument tie
Slip Knot - must always be followed by
a
reef knot
 KNOTTING

Square ( Reef ) Knot

KNOTTING
 KNOTTING

Surgeons knot
 KNOTTING

DEEP TIE
KNOTTING
BASIC SURGICAL SKILLS
COURSE

SUTURING
 SUTURING

SKIN SUTURE PRINCIPLE

EPITEL TO EPITEL
ALL SURFACE MUST
RIGHT MATERIAL

NOT TENSION
NO NO EVERSI
NO INVERSI
NO DEAD SPACE
SUTURING
SUTURING
SUTURING
SUTURING
SUTURING
SUTURING
BASIC SURGICAL SKILLS
COURSE

SUTURE MATERIAL
Types of Suture Material
Sutures:
Absorbable Non-absorbable
Biological Synthetic
Monofilament Multifilament
(twisted,
Needles: braided)
Curved Eye
J-shaped Body
Straight Tip
Types of Suture Material (cont.)
Needles:
Curved Eye
J-shaped Body
Straight Tip
Round Body
Taper - blunt
- cutting (forward /reverse)
BASIC SURGICAL SKILLS
COURSE

INCISION
 Ellipse

3X
 Ellipse

X
3
X