41. Simple Suturing - Everting
• A>B
• Correct suture
placement produces
accurate edge to edge
contact and the wound
appears slightly everted
• Eliminate dead space
A
B
Angle must
be >90
47. Simple Suturing - Buried
• To close dead space
• Facilitate in wound
healing and prevent
infection
• Usually used at
subcutaneous tissues
• Followed by
subcuticular or simple
interrupted sutures
53. How to START Subcuticular Suturing?
(with NON-absorbable Suture)
54. How to End Subcuticular Suturing?
(with NON-absorbable suture)
Tied over the wound
Tied to itself at the ends
Secured with crimpled
beads at both ends
65. Purse-String Suture
• continuous stitch
paralleling the edges of
a circular wound
• wound edges are
inverted when tied
• used to close circular
wounds
68. References
• Skinner, I. 2000: Basic Surgical Skills Manual, chapter 4, pp.
116-144. The McGraw-Hill Companies, Inc., Australia.
• WEG Thomas et.al., 2002: Intercollegiate basic surgical skills
course participant handbook, 3rd Edition, Module 1 , pp. 26-
27. The Royal College of Surgeons of England, London.
• www.cartoonstock.com