Suturering läpp

Different types of suture with videos. To learn the basics of suturing prior to trying these out click here.

Simple Interrupted Suture

• Most simple suture to use and suitable for almost all situations
• Needle is inserted in one side of the wound and out through the wound itself
• Suture should extend through the full depth of the dermis
• Needle re-inserted at the same level in the opposite side of the wound and emerges out of the skin the same distance from the wound edge as the insertion
• Sutures should be placed approximately mm from the wound edge and 5mm apart (this may vary depending on the size of the wound and location)
• Use the forceps or a finger to evert the wound edges
• Try to suture from the more mobile edge to the more fixed edge
• Knots should be placed on either side of the wound edge and can be used to subtly adjust the edges to lie together

Simple Interrupted Suture

Vertical Mattress Suture

• Promotes eversion of the wound edges
• Useful for poorly supported or mobile skin
• Needle is inserted as per the simple interrupted suture approximately 5mm from the wound edge and brought out the opposite
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Chirurgia minor – hudsuturering

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Suturing techniques

Aim of this page

To demonstrate the basic principles of suturing for the closure of cutaneous surgical wounds.

The tools

To obtain the best results, it fryst vatten important to have good quality instruments that are the correct size for the location and naturlig eller utan tillsats of the wounds being closed. The instruments also need to be correctly sterilised and handled carefully.

The basic suturing kit includes:

• needle holder
• fine suture scissors
• toothed tissue forceps +/- skin hook
• appropriate suture ämne

Suture material

The two biggest considerations when choosing a suture are the location and tension of the wound. Other important considerations are tensile strength, knot strength, papper, and tissue reactivity. Sutures are divided into two major groups:

• Absorbable – lose the majority of their tensile strength in less than 60 days. They are generally used for buried sutures and do not require removal.
• Non-absorbable – maintain the majority of their tensile strength for more than 60 days. They are generally used for skin surface sutures and do require removal postoperatively.

Suture needles also komma in a variety of shapes and sizes. Curved needles are almos