Techniques of Wound Suturing – Basic and Advanced

showing suture suturing with forceps and tweezers

Techniques of Wound Suturing – Basic and Advanced

One of the most important components of wound care and management, repairing of moderate to serious lacerations and/or wounds resulting from surgery or other procedures is the usage of efficient suturing tools, materials, and techniques.

The main objectives of suturing are the following:

  • Provide effective haemostasis to wounds.
  • Speed up the healing process.
  • Improve the function of the tissue and appearance.

However, a very important point to remember when it comes to suturing wounds is the risk of infection.

It doesn’t take long to learn this simple suturing technique; therefore, every person can, and should learn how to treat minor wounds.

Choosing the right suture technique

According to the condition of the wound and its type, a surgeon can easily choose the right technique of suturing from various techniques to choose and master.

Choosing the right suture technique

According to the condition of the wound and its type, a surgeon can choose from among a variety of suturing techniques.

According to the condition of the wound and its type, a surgeon can choose from among a variety of suturing techniques.

Surgeons will consider one of the following basic suture techniques:

Single Interrupted Suture
This is one of the most basic wound management techniques, generally chosen to close accidental wounds. A synthetic, monofilament and non-absorbable suture are usually chosen to place a series of individual stitches on the skin.

Horizontal Mattress Suture
This is a type of interrupted stitch, and holds the edges of wounds securely while taking the wound edges inside out. This suture is generally applicable for distribution of tension around the wound, especially if the wound is large.

Vertical Mattress Suture
This type of suture supports the wound, provides excellent wound edge eversion and decreases dead space. The only drawback to this suture is that it may compromise blood flow to the injured tissue.

Sub-cuticular Suture
When the surgeon has to close off dead space, this suture is generally used which may allow blood. Or fluid to collect around the empty space and promote infection to it.

Running Suture
This method is the fastest to perform although doesn’t work well for irregular shaped wounds.

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