Placement of various specific Suture Types

1. Placement of various specific Suture Types The most versatile and commonly done suture is known as simple interrupted suture. This suture is done by inserting the needle in a perpendicular position to epidermis, passing through it and dermis and then exiting perpendicular to epidermis on the wound’s other side. The sides of stitch have to be symmetrically positioned in terms of width and depth. This suture has a flask-shaped configuration overall. The stitch has to be broader at the base compared to the superficial portion at the epidermal side. If the stitch covers a bigger tissue volume at the base rather than the apex, the compression will press the tissue upward and enable wound edge eversion. This reduces risk of depressed scar getting created as the wound squeezes while healing is in progress. As a matter of fact, tissues bites need to be evenly placed to ensure wound edges meet at the exactly same level. This brings down the risks of wound-edge height mismatch. The size of bite derived from wind sides can be kept different by altering the distance of the needle insertion zone from the wound edge, distance of the needle exit zone from the wound edge. The bite depth taken is also a factor here. Using varying sized needle bites on the wound’s each side can rectify preexisting asymmetry in the height and thickness of the edge. Small bites can be deployed to cope with wound edges. Large bites are ideal to diminish wound tension. Simple interrupted suture Simple running suture Running locked suture Vertical mattress suture Half-buried vertical mattress suture Pulley suture Horizontal mattress suture Dermal-subdermal sutures Buried horizontal mattress suture