How to suture
Part 1:
1.What wounds are sutured
2.Sensory and motor examination
3.Suturing materials and instruments
4.Septic techniques
5.Local anaesthesia and nerve block
6.Different Suturing techniques
indications
Part 2:
7.Cut fingers
8.Medications and wound care
9.Steri strip and staplers
10.Artery and vein ligation
11.Extensor tendons
, 1. What wounds are sutured
As a method for closing simple wounds, the technique of suturing has
been around for centuries. Although suture materials and aspects of
the technique have changed, the primary goals remain the same, as
follows:
Support and strengthen the wound until complete healing is achieved,
Approximate the edges of the wound for a more aesthetic closure and
minimise the risks of bleeding and infection.
After this course you are expected to be able to close wounds involving
the skin, the fat layer beneath it and partial muscle cuts. You will also
be briefed on reattaching the extensor tendons of the hand which
usually are the most prone to injury. In addition an in depth explanation
on how to ligate a bleeder in an emergency situation will be included.
But how to tell if the wound requires only simple suturing ?
, 2.sensory and motor examination.
Before you start suturing a wound you have to make sure it is only a
soft tissue wound and that no functional damage is at hand. When we
say Sensory exam we usually mean making sure no nerve is injured, on
the other hand, motor exam means checking for any cut tendons.
A. Motor:
One way to go about this is test the mobility of the injured
part. See if the range of movement is affected, different than
usual, or if there is no movement at all, it is advised to compare
it with the other side of the body and also ask the patient if
there were any previous injuries in the same area.
, Make sure to test for every possible movement of the injured part, not
just obvious ones.
Part 1:
1.What wounds are sutured
2.Sensory and motor examination
3.Suturing materials and instruments
4.Septic techniques
5.Local anaesthesia and nerve block
6.Different Suturing techniques
indications
Part 2:
7.Cut fingers
8.Medications and wound care
9.Steri strip and staplers
10.Artery and vein ligation
11.Extensor tendons
, 1. What wounds are sutured
As a method for closing simple wounds, the technique of suturing has
been around for centuries. Although suture materials and aspects of
the technique have changed, the primary goals remain the same, as
follows:
Support and strengthen the wound until complete healing is achieved,
Approximate the edges of the wound for a more aesthetic closure and
minimise the risks of bleeding and infection.
After this course you are expected to be able to close wounds involving
the skin, the fat layer beneath it and partial muscle cuts. You will also
be briefed on reattaching the extensor tendons of the hand which
usually are the most prone to injury. In addition an in depth explanation
on how to ligate a bleeder in an emergency situation will be included.
But how to tell if the wound requires only simple suturing ?
, 2.sensory and motor examination.
Before you start suturing a wound you have to make sure it is only a
soft tissue wound and that no functional damage is at hand. When we
say Sensory exam we usually mean making sure no nerve is injured, on
the other hand, motor exam means checking for any cut tendons.
A. Motor:
One way to go about this is test the mobility of the injured
part. See if the range of movement is affected, different than
usual, or if there is no movement at all, it is advised to compare
it with the other side of the body and also ask the patient if
there were any previous injuries in the same area.
, Make sure to test for every possible movement of the injured part, not
just obvious ones.
