Six Common Suturing Techniques

Posted by Maria Fe on

Introduction

Suturing techniques are used to hold and strengthen body tissues to help wounds heal after surgery or due to an injury. The techniques minimize bleeding and prevent infections. They are available in two types: non-absorbable and absorbable sutures. The absorbable sutures are made of natural material that breaks down and is absorbed in the body with time.  

On the other hand, non-absorbable sutures have to be removed after some time because they are made of synthetic material that the body cannot absorb. Read on to know about six suturing techniques and their benefits.

 

Simple interrupted suture

This is the commonly used suturing technique. It is placed by inserting a needle perpendicularly on the epidermis. The perpendicular position helps the needle take a wide, deep bite into the tissue enabling the suture to result in quick wound healing. This prevents extensive scarring and keeps the skin aesthetically appealing. The stitch is wider at the base but narrower towards the top part. A knot secures the suture.

 

Continuous suture 

This type of suture technique is also known as running. It is done using an interrupted stitch that is tied and not sliced. The sutures are placed after each other without tying or cutting the material used. But in the end, the stitched is tied to secure it.

 

Running locked suture

A running suture is simple and can be unlocked or locked. A knot is used at the beginning of a running locked suture. It is similar to a traditional running suture, but it is done by passing the needle via the loop as the stitches are placed.

 

Vertical mattress suture

This is a different version of the simple interrupted suture. A needle is inserted on the wound's edge and takes a broader bite of the tissue, and it then exits from the skin but remains in the same position on the opposite edge of the wound. It is then re-inserted on the other side of the wound and exits in a similar position on the first side of the wound. This stitch is secured using a knot.

 

Horizontal mattress suture

When using horizontal mattress suture, a needle is inserted between 5 mm and 10 mm away from the wound's edge and goes through to the other side. It is re-inserted again on the second part of the wound and goes through to the side like on the first side. At this point, it is secured using a knot.

 

Running subcuticular sutures

This suturing technique is similar to horizontal mattress sutures, but it is buried deep into the skin. The stitch is done in a zigzag pattern and is placed into the deep part of the skin. This means no visible marks and scars are visible.

 

Conclusion 

The type of suture used by a practitioner depends on the wound's needs. Besides, some technologies may not be available in some health facilities. However, the above six suturing techniques are time-tested and reliable. The materials and devices used are available, making it easy for patients to access them regardless of their geographical location across the world.

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