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In this video, you will learn the Advanced Level Suturing Techniques on Simutomy's Suture Pads.
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1. Simple Sutures
Suture passed through both the edges at equal depth, and then a knot is tied. This type of suture technique is more commonly practiced. It is a strong suture technique. This suture ensures that even if one suture gapes, entire wound does not gape or no loosening of other sutures.
2. Vertical Mattress Sutures
This technique of suturing is preferred in areas where wound contraction can lead to scar dehiscence or broad scar formation. The pattern of suturing is 'Far- Far- Near - Near' bites of the tissue. The knot is perpendicular to the wound, and the bites are deep for 'Far-Far' bites and superficial for 'Near-Near' bites. This avoids tension on the approximated edges and prevents inversion of wound edges. However, this technique leads to poor cosmesis.
3. Horizontal Mattress Sutures
The horizontal mattress suture is a type of everting suture that distributes tension along a wound's edge. This method is typically used to bring wound edges together over a long distance or as the first stitch to anchor two wound edges together (holding sutures). These sutures, like vertical mattress sutures, contain a substantial quantity of tissue within the suture thread's passage and can be used as initial sutures to keep skin flaps in place. The suture can also be used to hold together weak skin, such as that of an elderly patient or a patient on long-term steroid therapy.
4. Subcutaneous Buried Sutures
Buried suture is critical for transferring wound stress to the dermis rather than the epidermis and for sealing dead space. It supports the healing wound for a longer period of time and improves the cosmetic outcome. An absorbable suture is placed at the subcutaneous level and brought out at the dermal level on the same side of the wound, after which the wound edge is everted using a skin hook.
In a surgical or traumatic incision, the subcutaneous suture is comparable to interrupted sutures with buried knots, but it is put deeper in the tissue. This suturing technique is mostly utilised to remove dead space from a wound's depth. When utilising this approach, always utilise absorbable sutures by default.
5. Subcuticular Sutures
The subcuticular continuous suture makes apposition of the wound edge an ease. Because no exterior sutures are used, scarring is minimal. Rather, a subcuticular suture is put beneath the epidermis, either with an absorbable or non-absorbable suture, with exterior knots at the far ends of the laceration or incision to allow the suture to be readily removed. Subcuticular continuous sutures, when used correctly, yield the best cosmetic effects. The disadvantage is that the procedure takes a long time. The sutures, on the other hand, are easily removed, making this a typical procedure for children. In most circumstances, the subcuticular suture will produce a very pleasant cosmetic appearance, but it will provide very little wound eversion on its own.
and other suturing techniques.
Practice what you learn in this video on Simutomy's Suture Pads available to purchase here:
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5 сен 2024
