Simple interrupted sutures l Mastering suturing techniques l OSCE skill station - Part 3
The suturing techniques practice set used in the video series can be bought using this link - https://amzn.to/3w4W6in Simple interrupted suturing is a basic technique used to close wounds in surgery and medical procedures. Here's how it's typically done: Preparation: Ensure the wound edges are clean, debrided, and properly aligned before starting the suturing process. Needle and Thread Selection: Choose an appropriate needle and suture material based on the type and location of the wound. Commonly used suture materials include absorbable materials like polyglactin (e.g., Vicryl) or non-absorbable materials like nylon. Starting the Suture: Begin by inserting the needle through one side of the wound edge, approximately 3-5 mm from the wound margin and at a 90-degree angle to the skin surface. Pull the needle through until approximately half of the suture material remains on one side. First Bite: Insert the needle across the wound, penetrating the opposite wound edge at the same distance from the wound margin and at a similar depth. This creates the first "bite" of the suture. Tying Off: Once the first bite is completed, tie off the suture by bringing the ends of the suture material together and securing them with knots. This brings the wound edges together, closing the wound. Trimming Excess Material: After tying off the suture, trim any excess suture material to ensure a neat and tidy closure. Repeat: Depending on the length of the wound and the desired level of closure, the process may be repeated with additional sutures spaced evenly along the wound length. Each suture is placed independently of the others, hence the term "interrupted." Simple interrupted sutures are versatile and widely used for closing wounds of various sizes and complexities. They allow for precise alignment of wound edges, which is crucial for optimal wound healing and cosmetic outcomes. Additionally, they provide good wound edge eversion, which promotes healing and reduces the risk of wound complications such as dehiscence or infection.