SUTURE TECHNIQUE Flashcards
what are the two types of mattress sutures?
horizontal
vertical
what mattress suture is this?
- Excellent skin eversion
- Good for reducing skin tension
- Can strangulate if too tight
Horizontal
what mattress suture is this?
- Best skin eversion
- Good deep and superficial closure
- Can be very difficult to remove
Vertical
▪ Ideal cosmetic result
▪ Dermis closure (requires a cutting needle)
▪ Weak repair
▪ Lowest infection rate
Subcuticular
▪ Used for subcutaneous closures
▪ Strong, customized
▪ Remains away from skin edges, presents moisture wicking andirritation
▪ Difficult and slow
Buried subcutaneous
not a suture technique but a way of closing wound?
○ Ideal for large wounds, very quick and easy
○ Good skin eversion but poor scaring
○ May be associated with SSI with prolonged use
○ Can be painful when removing
Skin Stapler
proper suture handling technique?
needle holder is clamped onto the needle approx 1/3 the distance from swage to point
suture is removed from the package placing tension on the swage
note needle holder
- Single stitches, separately placed, tied, and cut
- More secure, individualized, time consuming
- May be beneficial if infected or contaminated
simple interrupted
- A single continuously advancing stitch
- Weaker, unreliable, uneven tension
- Time efficient
- Not for contaminated or infected wounds
simple running
- Single continuously advancing stitch that is interwoven onto itself
- Weaker, but even tension and time efficient
- Not recommended for contaminated and infected wounds
running interlocking
what are the tendon repair techniques?
bunnell
krackow
giftbow mod
whipstitch