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Essential Suture Patterns Explained

This document describes several basic suture patterns used in surgery, including interrupted and continuous simple sutures, horizontal and vertical interrupted U-shaped stitches, cross stitches, and continuous sutures with loops. It also describes subcuticular sutures and briefly mentions suture patterns for hollow organs, tendons, and other tissues.

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6 views16 pages

Essential Suture Patterns Explained

This document describes several basic suture patterns used in surgery, including interrupted and continuous simple sutures, horizontal and vertical interrupted U-shaped stitches, cross stitches, and continuous sutures with loops. It also describes subcuticular sutures and briefly mentions suture patterns for hollow organs, tendons, and other tissues.

Translated by

ScribdTranslations
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Basic suture patterns

Interrupted simple suture


Quick and easy to accomplish. The needle
and the sutures are inserted into a
variable distance from one of the sides
from the incision, it crosses at an angle
straight and passes through the tissues on the side
opposite, for a right-handed surgeon
this maneuver must be performed from
right to left. The knot must not
stay on the incision line. If
the points are very tight
provoke the inversion.
Simple continuous suture
It is made up of a number
continuous point variable
simple ties only at the end.
It is used for elastic fabrics and
it must not be subjected to tension.
Each of the points about the
edges of the wound must
to be done at a right angle. If in
a continuous suture fails the
tension of any of the
lazadas, se pierde toda la sutura.
•Interrupted U points
Horizontals
The outer part of the point remains
parallel to the incision line, for
to avoid eversion the needle must
to pierce through the skin, and the
edges of the wound face
firmly. This suture is useful
in large wounds. Due to its
geometry the points in horizontal U
they tend to reduce blood flow
from the edges of the wound. In those cases
as relaxation sutures would function
better the vertical U points.
Interrupted U points
Horizontals
This suture can be applied in
conjunction with small pieces
of rubber tube, that act
as tension relievers on
the wound.
Vertical U points.
Initially the needle and the suture
they traverse the tissue very close to the
edge of the wound and pass to the side
opposite of the incision emerging
through the skin. Then it is reversed
needle and returns to the opposite side,
making one more stitch
broad. It can be used as
relaxation suture, in this case
the edges can be joined with
simple interrupted points.
Cross points
The needle is first inserted
on one side and passing to the other like
if simple points were placed, it would
move the needle forward a little without
to cross the fabric and a
new stitch parallel to the
first, the ends of the suture
they remain on opposite sides
from the wound and form an X.
It is often used when
the edges of the skin are tight
Continuous suture with loop
It is a modification of the suture.
continues simple, in which the needle passes
perpendicularly through the
fabrics in the same direction, and then
with each pass the thread is introduced
below the previous loop and it
tie, each subsequent point is secured
until reaching the end of the suture. For
make the last stitch, insert the
needle in the opposite direction to the insertion
from the points, forming a loop
double suture, which is tied with the
extremely simple.
Subcuticular suture
The first part of the suture is
place upwards at the apex of the
incision and in the opposite direction to the
incision. The needle is then inverted.
and it is directed down the
incision, the knot that will be tied
subcutaneous. The rest of the suture is
make it identical to one
horizontal U stitch suturing,
with the needle crossing the incision in
right angle but advancing by
under the dermis parallel to the
incision.
Suture patterns used in
hollow organs.
Interrupted Lembert suture
Continuous Lembert suture
Cushing suture
Connell suture
Suture patterns for tendons
cut

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