Handbook on Surgical Sutures and Knots by Olajumoke Alice Ogunji, Zainab Jimoh, Isa Ngbede,O - HTML preview

SURGICAL SUTURES

Classification of suture types

• According to layer: One layer (if we approximate only one layer of tissues), two or more layers
• According to depth: one or two lines (rarely more lines)
• According to length: interrupted or continuous suture line

 General rules of the stitches:

• Not too close to the margin of the wound
• Stitches should be placed in the same distance
• Knots should be placed out of the wound line
• No wrinkles or gaps
• Avoid the overturn of the edges of the wound (exception purse-string ligature)