Donati’s suture (commonly called as vertical mattress suture) has a far-far-near-near (F-F-N-N) configuration where the far-through stitches seize the subcutaneous tissue and the near-through stitches seize only the dermis. Allgower Donati Suture or Allgower modification of Donati’s suture is a transition between subcuticular suture and Donati’s or vertical mattress suture…
Category: Surgical Skills
Surgical instruments and surgical techniques
Surgical Skills 
SOP – A Surgical Patient
Most patients have only one operation in their lives and to them, it is of great concern and a Solemn Occasion, though it is just another Appendix/Hernia/TKR to the Surgeon. Being a part of a surgical team is where one shares their knowledge, experience and responsibility with the others. This…
Surgical Skills 
Surgical blade size : Tricks to remember
Surgical blade anatomy Sharp edge: Belly Tip Unsharpened ridge opposite to the edge: Spine Slot for scalpel Surgical blade numbers Here is a trick to know the surgical blades by numbers – a simple image mnemonic which will require your imagination. We will only discuss blades commonly used in our…
Surgical Skills 
Pterygium Excision
Indications for surgery: 1. Reduced vision secondary to: Threatens visual axis: Pterygium advancing toward or already impinging visual axis Induced astigmatism: Due to flattening of meridian of pterygium by fibrosis in atrophic stage 2. Cosmesis 3. Significant discomfort not relieved by medical therapy 4. Diplopia: Resulting from limited ocular motility…
Surgical Skills 
External Dacryocystorhinostomy (DCR)
Definition External Dacryocystorhinostomy (DCR) is the surgery to connect the mucosal surface of lacrimal sac to the nasal mucosa by removing the intervening bone. It creates a permanent anastomosis between the lacrimal sac and medial meatus of nose. Prerequisite Common canaliculi must be patent Indications of External Dacryocystorhinostomy Nasolacrimal duct…
Surgical Skills
Myringotomy and Tube Insertion
Synonyms: Of Myringotomy: Tympanotomy (Opening the middle ear cavity), Tympanostomy (Instillation of a ventillation tube), Myringocentesis Of Ventilation Tube (VT): Grommet, Pressure Equalization Tube, Ear tubes, Tympanostomy tubes Definition of Myringotomy Myringotomy is the incision on the tympanic membrane to remove accumulated fluid or to provide aeration in case of…