Department of Surgical Research and Techniques Basic Surgical Practicals SUMMARY OF KNOTTING AND SUTURING TECHNIQUES
Department of Surgical Research and Techniques Basic Surgical Practicals Knotting techniques Viennese knot Surgical knot
Department of Surgical Research and Techniques Basic Surgical Practicals Viennese Knot
Department of Surgical Research and Techniques Basic Surgical Practicals Scalpel grips fiddle-bow holding pencil holding
Department of Surgical Research and Techniques Basic Surgical Practicals Use your hand to fix the skin Fiddle-bow holding! Straight, long incision 1 2 Use the belly of the blade Cut epidermis and dermis through sharply 3 4
Department of Surgical Research and Techniques Basic Surgical Practicals Holding of the forceps
Department of Surgical Research and Techniques Basic Surgical Practicals Handling the scissors 4 1 The thumb-ring finger grip !
Handling the Mathieu needle holder Department of Surgical Research and Techniques Basic Surgical Practicals Handling the Mathieu needle holder in left hand in right hand
The proper position of the needle in the needle holder Department of Surgical Research and Techniques Basic Surgical Practicals The proper position of the needle in the needle holder 1/3 2/3 eye of the needle tip of the needle
Department of Surgical Research and Techniques Basic Surgical Practicals Insertion of the thread
Simple interrupted suture Department of Surgical Research and Techniques Basic Surgical Practicals Simple interrupted suture 1 cm rule! the knot is on the side slow safe skin fascia muscle
Department of Surgical Research and Techniques Basic Surgical Practicals
Department of Surgical Research and Techniques Basic Surgical Practicals
Department of Surgical Research and Techniques Basic Surgical Practicals
Knot tied using Instruments Department of Surgical Research and Techniques Basic Surgical Practicals Knot tied using Instruments
Department of Surgical Research and Techniques Basic Surgical Practicals
Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 3 4
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 4 3
Department of Surgical Research and Techniques Basic Surgical Practicals Vertical mattress suture (Donati) wide-wide-close-close four punctures in the same vertical line 1,5 cm and 1-2 mm in the subcutaneous layer and superficial knot on the side skin slow wide and deep and superficial wound closure
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 4 3
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 3 4
Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal
Department of Surgical Research and Techniques Basic Surgical Practicals Donati suture Allgöwer suture The thread runs intracutaneously on one side of the wound
Department of Surgical Research and Techniques Basic Surgical Practicals Horizontal mattress suture line 1 cm from the wound edge 1 cm parallel to the wound edge, a double suture deep in the subcutaneous layer skin in case of higher wound tension
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 3 4
Department of Surgical Research and Techniques Basic Surgical Practicals 1 2 3
Department of Surgical Research and Techniques Basic Surgical Practicals Running suture line knot should be tied only at the beginning and the end fast the tension is distributed equally along the length of the suture – edema not so safe peritoneum vessels skin GI tract
Department of Surgical Research and Techniques Basic Surgical Practicals 2. 1. 3. 4.
Department of Surgical Research and Techniques Basic Surgical Practicals 1. 2. 4. 3.
Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal 3. 2. 1.
Department of Surgical Research and Techniques Basic Surgical Practicals Running-lock closure knot should be tied only at the beginning and the end last knot – 3 tails reduces the skin tension results in more tissue eversion skin
Department of Surgical Research and Techniques Basic Surgical Practicals
Department of Surgical Research and Techniques Basic Surgical Practicals Running intracuticular closure stitches run in the subcuticular plane fast cosmetically/aesthetically fine scar knot should be tied only at the beginning and the end skin it is used in the skin with minimal wound tension
Department of Surgical Research and Techniques Basic Surgical Practicals 1. 2. 3. 4.
Department of Surgical Research and Techniques Basic Surgical Practicals
Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal