Suturing Techniques

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Suturing Techniques:

Countless suturing techniques can be used to optimize cosmetic


outcome. Wounds are closed by using a wide variety of surgical sutures
of varying shapes, sizes, and thread materials made up of absorbable and
non-absorbable material. The appropriate suturing technique is chosen
based on the wound that has to be repaired. For example, with uneven
wounds, care should be taken that the depth of bite should be the same on
both sides of the wound. A better scar will result due to increased surface
area and therefore decreased tension.
simple subcutaneous suture technique: It is hands down the
most common suture technique used for wound closure in which we
usually attempt to place bulky knots into the deeper parts of the
wound. the body’s reaction to the knot does not take place just under
the skin, thus enabling the skin to heal without much disturbance.
Continuous subcutaneous suture technique: The second
most commonly used technique, it is considered as an advantageous
technique since it is more resistant than a simple suture. Furthermore,
continuous sutures may be performed more rapidly than simple
stitches. However, like most other sutures, there is the risk that a
wound may split or burst open if the suture breaks. optimal results are
obtained when short-term absorbable multi-filaments are used.
Interrupted suture technique: This suture technique uses
several strands of suture material to close the wound. After a stitch is
made, the material is cut and tied off. This technique leads to a
securely closed wound. If one of the stitches breaks, the remainder of
the stitches will still hold the wound together.
Horizontal and vertical mattress suture techniques:
Horizontal mattress sutures are used primarily in areas of tension to
help disperse the tension, they are also found useful in some elderly
patients with paper‐thin skin, where simple interrupted sutures may
tear through. While the vertical mattress sutures are useful for forced
wound edge eversion as well as for closing deep and superficial layers
with one stitch.
Buried suture technique: This type of suture is applied so that
the suture knot is found inside (that is, under or within the area that is
to be closed off). This type of suture is typically not removed and is
useful when large sutures are used deeper in the body.
Purse-string suture technique: This is a type of continuous
suture that is placed around an area and tightened much like the
drawstring on a bag. For example, this type of suture would be used in
your intestines in order to secure an intestinal stapling device.
Deep suturing technique: This type of suture is placed under the
layers of tissue below (deep) to the skin. They may either be
continuous or interrupted. This stitch is often used to close fascial
layers.
There are countless other suturing techniques like the Barbed suturing
technique which is the first attempt to a knotless suture to
acknowledge the importance of surface morphology in sutures,
End-to-end anastomosis used in reconstructive surgery, and the
Intussuscepted Three-Suture Triangulation Technique used in
reproductive medicine, Eyelid malpositions, transosseous suture
technique …. Etc.

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