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 hemostasis 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. Therefore great care must be taken in performing the procedure.
This is the most common technique known by all physicians, and used for the main purpose of wound closure in a manner that is pleasing to the eye. It takes little time to learn simple suturing techniques; therefore, every person should learn how to treat minor wounds. However, the techniques to suture difficult and challenging wounds can take years to master, and thus should only be performed by a qualified surgeon.
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. Some things to consider, and which will make choosing more easy, is that the edges of the wound should be well approximated, with no distortion and slightly parallel to skin tension lines.
The following are some of the most basic of suturing 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 sutures on the skin.
- Horizontal Mattress Suture
This is another type of interrupted stitch, and holds the edges of wounds securely while taking the wound edges inside out. This type of suture is generally applicable for distribution of tension around the wound, especially large wounds during the initial sutures.
- Vertical Mattress Suture
This type of suture supports the wound, provide excellent wound edge eversion and decrease dead space. These sutures can also be attempted in a different fashion with simple interrupted sutures to achieve eversion. The only drawback to this type of suture is that it may compromise blood flow to the injured tissue.
- Sub-cuticular Suture
This type of suture is generally used to close off dead space, which may allow blood or fluid to collect around the empty space and promote infection to it. This is performed by a suturing material that is synthetic and absorbable in its properties.
- Running Suture
In the running suturing technique, a single length of material is used to secure and tie the wound at each end. A non-absorbable and synthetic mono filament is usually chosen for this process. This method is the fastest to perform although doesn’t work well for irregular shaped wounds.
The techniques used for wound suturing are many and each one should be used according with the nature of the wound.
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