"How to Care For Wounds..."
Let's take a look at some principles around suturing and wound care. Most of the time, the body is able to close a wound just fine, but sometimes a wound can be so big that a medical professional needs to suture the wound so that it can heal without leaving ugly scars.
Let us consider the goals for suturing wounds...
Optimal wound care aims at maximizing functional restoration as well as
optimizing the esthetic result. These goals must occur within the
limits of maximum patient safety and patient comfort (a calm patient
experiencing the minimal amount of pain and discomfort).
Suturing a wound may assist the healthcare professional with three immediate goals:
- Tight sutures will assist in controlling bleeding (securing
hemostasis). It is not a substitute for normal bleeding control
measures e.g. suturing or tying up (ligating) arterial bleeds in the depth of the wound etc.
- It reduces the chances of wound infection. A closed wound is much
less prone to wound sepsis than an open wound. Further contamination
from the outside environment is also reduced considerably!
- Reduced pain. An open wound leaves the severed sensory nerve endings open thus increasing pain.
Suturing a wound will optimize the traumatized tissue's chances of retaining its blood supply, and at the same time minimizing the formation of unsightly scar tissue.

Wound closure is divided into:
- Primary closure - closure within the first 24 hour
- Secondary closure - wound closure more than 24 hours after the injury.
Primary closure of wounds should be the norm in most cases.
Exceptions to the rule would be highly compromised tissue where the medical professional anticipates debridement of the wound (cleaning and cutting away dead tissue and-or foreign material) to be necessary.

And keep the acronym LACERATE in mind to make closure of a wound easy to remember:
Look At the Wound, Assess it
Anesthetic Considerations
Cleaning the Wound
Equipment - Set Up
Repair of the Wound
Assessing Results, Anticipate Complications
Tetanus Immunization Status
Educate the Patient Regarding Wound Care
The above is an excerpt out of The Apprentice Doctor "How to Stitch Up Wounds" Suturing Course & Kit.

This resource consists of a CDROM containing a suturing set, imitation skin to practice your suturing on, and more. Some of the stuff you will learn is not taught at medical school. You are expected to learn some of this stuff as you go along in your medical career. But you can learn how to perfect your suturing and wound care techniques now using this resource.
President of The Apprentice Corporation
This Letter from the Doc was submitted on 05 May, 2008 at 09:14am
Comments on this Letter from the Doc...
Suture Kit

I am a Vet student in my third year - and ordered The App Dr Suture Kit to practice my suturing skills - I would like to say that the course was excellent. How about adding a number of operations on animals in addition to the current video clips on the CD?
Thank you!
Posted on: 07 June, 2008 at 01:02pm
By: Ghatto 1