How do you close the Y shaped laceration?
More formally known as the half-buried horizontal mattress suture, the corner stitch is an invaluable technique for closure of stellate lacerations. It is most suitable for “Y” shaped lacerations with a flap edge, but variations can also be employed for “V” and “X” shaped lacerations.
What is the hardest surgical stitch?
Running subcuticular sutures are considered to be the “holy grail” of suturing techniques by many. That is to say, when done correctly, they give the best cosmetic outcome. Hand in hand with that, they are certainly the most technically challenging and time consuming of suturing techniques.
What Stitch do surgeons use?
Sutures (Stitches) A doctor uses a piece of surgical thread called a suture to sew (or stitch) two ends of skin together. Surgeons once used animal tendons, horsehair, pieces of plants, or human hair to create sutures. Today, they’re made from natural or manmade materials like plastic, nylon, or silk.
What is ideal distance between sutures?
The distance between sutures should be roughly ½ the length of the individual sutures. Place the first suture in the center of the wound if approximation will be difficult, continuing by closing the distance to the wound edges by ½ to minimize tension forces on the tissue wall.
What is a stellate laceration?
A tear in the skin or in an internal organ caused by blunt trauma. Several lines emanate outward from the tear’s center.
What are deep sutures?
Deep dermal sutures are utilised when closing large or gaping wounds that require a robust, layered closure. They are useful in reducing tension over the length of a wound, relying on the strength of the dermis (containing collagen and elastin fibres) as opposed to the epidermis.
What is an Aberdeen knot?
The Aberdeen knot is an alternative knot used when ending a continuous suture line, most often for subcutaneous and intradermal closure. When used in subcutaneous closure, this knot allows the surgeon to continue directly to an intradermal closure without cutting the subcutaneous suture line.
Whats the difference between a stitch and a suture?
Although stitches and sutures are widely referred to as one and the same, in medical terms they are actually two different things. Sutures are the threads or strands used to close a wound. “Stitches” (stitching) refers to the actual process of closing the wound.
How do you know if your sutures are too tight?
The sutures should be just sufficient to keep the wound edges approximated and not too tight. Even slightest of skin wrinkling suggest a too – tight suture and these should be removed and re-applied.