Suturing Techniques?
What material around the home can I use to practice my suturing technique?
Does anyone know where to find "Surgical Suturing Techniques" on the web (or types of surgical knots)?
what suturing technique is used in placing a jackson-pratt drain? how about in closing a mastectomy procedure?
What is the technique of Interrupted circular suture: bleeding control during cesarean ?
types of sutures technique in dental surgery. pls find.?
My dog was recently spayed. The suture technique used is two large "x" shapes. What was the purpose of this?
what equipment do I need for a suture set and what is the wrapping technique for autoclaving?
Blepharoplasty: Double-eyelid operation in HCM City (Vietnam)?
Which is the best surgery for an 8 month old Whippet with a torn cruciate?

Suturing Techniques

Get the facts on Suturing Techniques treatment, diagnosis, staging, causes, types, symptoms. Information and current news about clinical trials and trial-related data, Suturing Techniques prevention, screening, research, statistics and other Suturing Techniques related topics. We answer all your qestions about Suturing Techniques.

Question: Suturing Techniques? Regarding proper suture techniques, is it correct to pass the needle completely through the proximal edge of the wound first, then the distal edge? Or do you just go through the proximal and then the distal edges in one motion? Just for the proper knowledge.

Answer: It depends on the location and size of the laceration or wound. It also depends on the skill of the suterer. Why do you ask?

Question: What material around the home can I use to practice my suturing technique? Calling all fellow medical students, nurses, doctors, surgeons, dentists, and anyone else handy with a needle holder, forceps, and some Ethilon! Any tips for what material I can use to practice suturing at home? I have the equipment and suture packs, but I'm in need of something that feels kinda fleshy! I've been told banana skins and orange peel, but first one seems too soft, and second too hard. My gf suggests suturing our Thanksgiving turkey after we stuff it good - which sounds like a great idea to me. Any other suggestions for less festive times of the year? :)

Answer: The quality of the material is completely inconsequential in regard to the practice of suturing. The most important aspect of placing sutures is proper tissue handling, instrument and tying technique, relative to the situation at hand. If one is suturing into strong tissue such as abdominal muscle fascia with a #1 vicryl, then a completely different amount of force is applied than if one is using a 5-0 prolene to close an opening in the vena cava. The placement of the needle through the tissue, however, and the attention paid to avoiding lateral stresses to the tissue by "following the curve of the needle" is key. When you tie down the knot, whether using instrument tying technique or hand tying, make certain that you snug the knot firmly but without over-cinching. "Approximate, don't strangulate!" is a slogan of wisdom now, just as it has always been. Bring the knot TO the tissue, and do not tension the tissue by pulling on the suture as the knot is tightened. Here are some illustrative exercises: (I'm assuming you've been properly instructed in how to hand-tie suture using two-handed and one-handed technique, as well as instrument tie.) 1) Using a rubber exam glove, place a finger of the glove under a small weight on the table top. Use a small book, or for more challenge, use less weight such as a cell phone or even just a pen. With foreceps and a needle driver, gently place a stitch into the glove. For glove material, I recommend a 3-0 silk. Now, tie the suture down firmly without pulling the glove out from under the weight. Once you have 3 or 4 knot throws, pick up the glove and look at your knot very closely. Did it cinch tight? Is it an "air knot" ? Use a tine of your foreceps and worm it into the suture below the knot, if you can. Can you pull the suture open, showing that your knot can slide? If you do this exercise correctly, you can show that your throws are "going down square" because the knot won't slide. 2) Take a styrofoam coffee cup and poke a hole in the side, near the bottom. Worm the finger of a rubber exam glove from the outside into the cup so that as you look down into the cup, you see the finger protruding into the space. Grasp the tip of the glove finger with a pick-up and clamp across it with a right-angle Mixter clamp. Now, tie off around the finger using a free (silk) tie. Use whatever size you want, but again I recommend 3-0. When you're done, remove the glove from the cup and blow it up like a balloon. Can you prevent air from travelling distally into the finger tip? Is your tie-off "air tight"? 3) For giggles, peel an orange in one piece. Start at one end, gently tearing a large circle around the stem insertion point, but then continue down the orange as a spiral till you can lift off the far end as another circle. Now, sew the peel back together with a running subcuticular stitch. I recommend 3-0 vicryl on the SH needle. Don't use a pop-off needle. The secret is that you don't need to knot the suture at the beginning, just anchor the start by doing a couple of needle passes through the white underside, then when you run out of suture, cut off the needle and just start a new one. No need to knot! If you do this well, you can make the orange look PERFECTLY intact, but it's tougher than it sounds. The orange peel will show off any step-offs from asymmetric suture placements from one side of the gap to the other, and if your exits and entries aren't close to perfectly aligned across the gap, then when you gently cinch it down, the gap will gape. If you over-cinch in order to try to crush the flaws out of your suture line, the tissue will tear. 4) With a sharp knife (perhaps a scalpel), cut a grape in half. Now sew it back together with at least 4 interrupted sutures. I don't care how you hold the grape to do this, and the suture choice is an exercise left to you. There are two modes of failure. One is if your suture rips through. The other is if you tie so losely that when you pick up the grape by one half, the other half sags or shifts. The bottom line is that any practice is good practice as long as you practice good technique! If you start developing bad habits now, then you're going to be fighting to rid yourself of ingrained error. Work with surgeons to critique your skills, and remember, do as they SAY, not as they do... many surgeons will bend the rules a bit here and there when they know that the situation isn't critical. You, on the other hand, are in training. As such, rule bending isn't something you're priveleged to do! I hope that helps. Feel free to contact me if you have questions.

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