Handbook on Surgical Sutures and Knots by Olajumoke Alice Ogunji, Zainab Jimoh, Isa Ngbede,O - HTML preview

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SURGICAL SUTURES

Classification of suture types

  • According to layer: One layer (if we approximate only one layer of tissues), two or more layers
  • According to depth: one or two lines (rarely more lines)
  • According to length: interrupted or continuous suture line

 General rules of the stitches:

  • Not too close to the margin of the wound
  • Stitches should be placed in the same distance
  • Knots should be placed out of the wound line
  • No wrinkles or gaps
  • Avoid the overturn of the edges of the wound (exception purse-string ligature)