Editing Suturing (section)

== Knots: ==

* Surgeon's knot is useful as a first throw with synthetic monofilaments
**
* 3-1-2 technique can be helpful in preventing slipping for heavy monofilament sutures such as 0 or 1 prolene
**
* Two-handed technique is suggested for deep or poorly-accessible locations
** Advantage is that the two threads are in control the whole time - makes it easier to maintain tension
** Can do a double-throw to start with
* One-handed technique is the simpler technique I first learnt (called one-handed since the right hand only acts as an anchor)


Simple everting skin suture

* To evert the skin more, make the deeper portion of the bite wider than the superficial portion

Vertical mattress (Stewart) suture

* Guarantees eversion
* Don't need to tie with excessive tension

Connell, Cushing, Lembert, Halsted, seromuscular sutures - see 'anastomosis' topic


Continuous locked stitch


Whip stitch

* Out to in, out to in, out to in, etc
* Quick and easy


Staples

* 5-10mm apart, depending on thickness of skin and underlying structures


Pulley suture (good for tensioning difficult wounds)

# In 3mm from wound on side A
# Out 10mm from wound on side B
# In 10mm from wound on side A
# Out 3mm from wound on side B
# Hence tie between the two 3mm points


Cross-stitch (good for closing circular wounds e.g. punch biopsy)


Three-point corner suture (for closing triangles)

[[Category:Operating theatre]]
[[Category:Intern education]]