SUTURE TECHNIQUE

Question 1

what are the two types of mattress sutures?

Answer 1

horizontal

vertical

Question 2

what mattress suture is this?

• Excellent skin eversion
• Good for reducing skin tension
• Can strangulate if too tight

Answer 2

Horizontal

Question 3

what mattress suture is this?

• Best skin eversion
• Good deep and superficial closure
• Can be very difficult to remove

Answer 3

Vertical

Question 4

▪ Ideal cosmetic result
▪ Dermis closure (requires a cutting needle)
▪ Weak repair
▪ Lowest infection rate

Answer 4

Subcuticular

Question 5

▪ Used for subcutaneous closures
▪ Strong, customized
▪ Remains away from skin edges, presents moisture wicking andirritation
▪ Difficult and slow

Answer 5

Buried subcutaneous

Question 6

not a suture technique but a way of closing wound?

○ Ideal for large wounds, very quick and easy
○ Good skin eversion but poor scaring
○ May be associated with SSI with prolonged use
○ Can be painful when removing

Answer 6

Skin Stapler

Question 7

proper suture handling technique?

Answer 7

needle holder is clamped onto the needle approx 1/3 the distance from swage to point

suture is removed from the package placing tension on the swage

note needle holder

Question 8

• Single stitches, separately placed, tied, and cut
• More secure, individualized, time consuming
• May be beneficial if infected or contaminated

Answer 8

simple interrupted

Question 9

• A single continuously advancing stitch
• Weaker, unreliable, uneven tension
• Time efficient
• Not for contaminated or infected wounds

Answer 9

simple running

Question 10

• Single continuously advancing stitch that is interwoven onto itself
• Weaker, but even tension and time efficient
• Not recommended for contaminated and infected wounds

Answer 10

running interlocking

Question 11

what are the tendon repair techniques?

Answer 11

bunnell
krackow
giftbow mod
whipstitch