A suturing masterclass
Eric Drabble, consultant general surgeon and director of the Royal College of Surgeon’s Surgical Skills for Students course, gives a step by step guide on how to insert a stitch and how to tie two types of knot
Suturing a wound is an essential skill that every doctor needs to be competent in. Surgeons suture on a regular basis, but other doctors also need to be confident stitching up lacerations in emergency settings, and be able to suture central lines and chest drains in place.
Closing a skin wound is also a common skill assessed during objective structured clinical examinations (OSCEs) at medical school, and it is a core competency listed in the General Medical Council’s Outcomes for graduates.1 This article provides a step by step guide on how to suture a wound and how to tie two types of knot to secure the suture.
When holding the scalpel, position your index finger on top of the blunt side of the blade, with the rest of your hand acting as a support (see fig 1). This helps you to control the pressure you apply on the surface of