Contra-indications
- Risk
of infection is high (e.g. dog bites, heavily contaminated wounds, gun
shot injuries)
- Risk
of dehiscence is high due to ischaemia
(high tissue tension)
- Sutures
- Staples
- Sterile
plasters (steri strips)
- Tissue glue
Pre-requisites
- Obtain consent
- Adequate anaesthesia
- Clean the wound
.bmp)
- Toothed forceps
- Needle holder
- Appropriate suture
- Hold the needle with needle holder
- Lift the edge of the skin using the toothed forceps
- Enter the skin at 90 degrees and exit through the wound
- Enter the opposite wound surface and exit at 90 degrees to the skin surface. Press on the skin to apply counter pressure to help exiting the needle
- Tie a square knot
- Repeat the procedure ( the distance from the edge of the wound should correspond to the thickness of the tissue and successive sutures should be placed at twice this distance apart) - figure
- Ensure that all knots are on the same side of the cut edge
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