This document discusses various suture patterns used in fundamental surgery. It classifies suture patterns as interrupted or continuous, and appositional, inverting, or everting. It then describes different types of simple appositional suture patterns like simple interrupted sutures. It also covers tension sutures like horizontal mattress sutures, both interrupted and continuous. Finally, it discusses inverting suture patterns used for hollow organs like Lembert sutures and purse string sutures.

1. FUNDAMENTAL SURGERY
Basic Suture Patterns
Dr. Satyajeet Singh
M.V. Sc.
Department ofVeterinary Surgery and Radiology
DUVASU, Mathura

2. Classification of suture patterns
• Interrupted/Continuous
• Appositional/Inverting/Everting
• Simple/Tension

3. Appositional suture patterns
Simple interrupted s.
enterexit

4. SIMPLE CONTINUOUS
Appositional suture patterns

5. Appositional suture patterns
Continuous lock (Ford interlocking or lock stitch)

6. Appositional suture patterns
Interrupted cruciate (Cross or X- mattress)
1
2
3
4

7. Tension sutures
Interrupted horizontal mattress s.
With stents Without stents

8. Tension sutures
Continuous horizontal mattress

9. Tension sutures
Interrupted vertical mattress s.

10. Tension sutures
Quilled

11. Tension sutures
1
2
3
4
1
2 3
4
Far-far-near-near
Far-near-near-far

12. Appositional suture patterns
Interrupted intradermal (subcuticular) (buried knot)
epidermis
dermis
subcutis
1
2
3
4

13. Appositional suture patterns
Continuous intradermal (subcuticular)

14. Suture Patterns Used for HollowSuture Patterns Used for Hollow
OrgansOrgans

15. Inverting suture patterns
Lembert (interrupted or continuous)
interrupted continuous

16. Inverting suture pattern
Interrupted inverting mattress

17. Inverting suture patterns
Halsted (Interrupted Quilt)
1
2
3

18. Inverting suture patterns
Cushing and Connel
Cushing
Connel

19. Inverting suture patterns
Parker-Kerr

20. Inverting suture pattern
Purse string

21. Purse string
Prolapsed rectum
Bladder

22. Suture for intestine
A- Simple interrupted
B- Crushing Suture
Simple interrupted suture
(enterectomy)

23. Appositional suture patterns
Gambee suture
serosa
muscularis
submucosa
mucosa

24. Tension sutures
Sliding mattress
(Mayo mattress)
(vest-over-pants)

25. Tension sutures
Stent suture

26. Tendon Suture Pattern

28. Tendon suturing
Locking loop (modified Kessler)