Suturing involves using a thread-like material to close wounds or surgical incisions. The process varies depending on the wound's depth, location, and tension, but a specific technique involves placing sutures horizontally within the subdermis.
Here's a breakdown based on the provided reference:
- Placement: Sutures are placed in the subdermis (the layer of tissue beneath the skin).
- Technique: A horizontal fashion is used, taking equal "bites" on either side of the wound. This means the suture passes back and forth through the tissue horizontally.
- Knotting: The ends of the suture are knotted in a way that the knot lies subcutaneously (under the skin). This minimizes irritation and promotes better healing.
- Suture Type: Absorbable sutures are typically used because the intention is to leave the suture in situ (in place) to dissolve over time.
- Ideal Conditions: This type of suturing is most effective where there is minimal dead space (empty space under the skin) and low tension on the wound edges.
In essence, the goal is to bring the wound edges together smoothly and securely, supporting the healing process. The use of absorbable sutures and subcutaneous knotting minimizes the need for removal and promotes a cosmetically appealing result.
