Basic plastic surgery techniques and principles: How to suture
In the second article of our series, Ben Taylor and Ardeshir Bayat explain suture techniques, how to prepare a wound, and how to get the best possible scar
Stitching (suturing) a wound is a surgical skill which also has widespread applications outside the field of surgery. We are all likely to be called on to suture a wound at some point in our training. Few students have enough confidence, however, to deal with wounds, and it can be hard to learn. In this article we look at the basics of wound healing suturing technique. We discuss a few more advanced techniques and share the secrets of getting best possible results.
To understand the basis of suturing, it is important to know how wounded skin heals. This occurs in four phases (although there is some overlap).
Haemostasis--Immediately after wounding, a platelet plug forms and blood vessels vasoconstrict. Later, a thrombus develops to seal the wound.
Inflammation--This occurs in the first two to three days after the injury, causing swelling of the wound edges. White blood cells remove necrotic tissue,