It comes from the University of Texas at Houston and walks you through the basics. After watching a few tutorial videos I am convinced that this is the best. So, this should be your bread and butter. Most surgeons never tie one-handed knots and some even forbid them. This is the knot that you will actually use in the OR. He gave me a raving evaluation and spoke specifically about how I was “well prepared for the OR.” So, take it from me, learn these knots! Always remember Rule #1: tie square knots, not granny knots! Two throws are required to complete the knot.ġ. My attending was seriously impressed and told everyone on the team. I picked up the suture and threw a few two handed knots down.

As the case was ending the attending turned to me and said, “hey, we have to close the fascia, can you tie knots?” Luckily, I knew quite well how to tie. The first case was an open tubal ligation. He also happened to be the rotation coordinator and was responsible for my grade and evaluation. This is a true story.Īfter finishing rounds with the residents on my OB rotation I was assigned to work in the OR with the chief of benign gynecology surgery at a community hospital. Let me offer one experience from medical school to illustrate this fact. As with previous skills, it is very important that medical students learn to tie surgical knots early in their training. This post will focus on learning how to tie one and two handed knots in the operating room. In two recent posts I recommended some great video tutorials for suturing and for instrument tying.

Standford surgery knot tying video