Suture Lab Basic level suture techniques Sutures Forceps

Suture Lab Basic level suture techniques.

Sutures Forceps Stitch scissors Tools Suture Pad

• Monofilament • Can be used on infectious sites • Usually nonabsorbable • Require more ties to ensure knot integrity—knots slip easily • Usually synthetic material • More memory-causes kinks • Multifilament (Braided) • Cannot be used on infectious sites • Requires fewer knots to maintain knot integrity • Usually silk or cotton material • Friction cause damage to tissue but makes it easier to handle. • Flexible Suture Material

Smaller 6 0 Larger • Modern sutures range from #6 (heavy braided suture for orthopedics) to #11 -0 (fine suture for ophthalmics). • Located clearly on suture package Suture Size 11 -0

• Interrupted • Advantage: More secure; great use in infectious sites • Disadvantage: more time consuming • Continuous (running) • Advantage: evenly distributes wound tension • Disadvantage: If it breaks you lose the whole suture Interrupted vs. Continuous

• Become confortable using tools • Become associated with terminology • Learn the following suture patterns: • • Simple Interrupted Simple continuous Interlocking Continuous Subcuticular suture* Today’s Goals

• Simple Interrupted

Simple Continuous

• Interlocking Continuous Video Interlocking Continuous

• Subcuticular Suture Video Subcuticular Suture