00:05
Straight male scissors are
the most common scissors used
in a procedural area.
00:10
Now the reason these
are so useful is because
they are very durable,
they're very strong,
they're very solid.
00:16
They can be used
for blunt dissection.
00:18
You can poke into
tissue and then expand.
00:21
If you imagine poking into tissue
and then opening it up
poking in and opening up,
you never want to go in
and then chopping
because you potentially
damaged tissue,
but you can blunt dissect open,
and that will help open
up areas of tissue.
00:35
So very, very cool for that.
00:36
The nice and solid, very durable.
00:38
They're not as dramatic,
they're nice and rounded.
00:40
That said,
if you use a small Iris scissor
that are pretty common to see
in the outpatient setting,
those are kind of pokey on the tip.
00:45
So it'd be careful when
you do a blunt dissection,
you can actually not be
doing a blunt dissection,
but rather a sharp dissection,
and you'll see increasing
bleeding sometimes.
00:52
So keep that in mind, you'd be
careful on how you use these.
00:56
Straight scissor as
opposed to a curve scissor.
00:58
Just different techniques
for different approaches.
01:01
But that said, for cutting tissue
this can be used if needed.
01:04
However, this is not really
designed for cutting tissue.
01:07
This is more for cutting suture.
01:08
Cutting tissue,
you want something more fine,
that's not going to mar the
tissue and in be as abrasive.
01:15
This is designed for long
lasting, durable cutting.
01:20
And if you notice it down here,
you have a long distance from here
to the very tip of the scissor.
01:24
So if you cut something here,
you can chop something
important down here,
that's called past point cutting.
01:29
So always make sure that you
open up the V just a little bit,
engage your strategy
you're going to cut,
turn it clockwise and snip.
01:35
The reason we cut it clockwise
is because if you look at this,
you know any way you look at it,
flip it around upside down
backwards doesn't matter.
01:42
The bottom time is going to
be the outer surface here
and then the cutting blade is on
the upper portion of that time.
01:49
So, if I want to say, I don't want
to cut my finger there,
I would rotate it away
to protect it from cutting.
01:57
So I'm going to be cutting up here.
01:59
If I turn it this way,
I'm going to chop through my finger
or in the case of my
suture probably my knot.
02:04
So I was cut it - go clockwise
when you cut it and then snip
and that will keep you away from
your knot to protect you. Okay.
02:13
So very simple, open just a
little bit, engage your strand,
turn it, snip, done, okay. That's
how you use scissors. Very simple.
02:21
We've all used scissors, typically
holding your non dominant hand.
02:24
But you can also switch into your
dominant hand depending on the use.
02:27
They're very versatile.
02:28
Doesn't really matter
for most things,
but realize that you may need to
pull up on one time to the other
to have it really engage properly.
02:35
It's just a matter of
how sharp your scissors are
in your particular application.
Okay, let's play.