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How to Stitch Up Wounds

How to Stitch Up Wounds

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Published by: fori:=1tondo on Nov 30, 2011
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11/14/2014

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Prepare a piece of imitation skin for practicing your suture technique

INFORMATION

The imitation skin for practicing your suture technique consists of three layers – just like natural skin:

• A superfcial covering layer (1 mm)

– representing the epithelium

• A white fbrous layer (3 mm / ⅛ inch)

– corresponding to the dermis

• A spongy layer (6 mm / ¼ inch)

-- corresponding to the subcutaneous tissue

This patented imitation skin, provided with The Apprentice Doctor® How to Stitch-up Wounds Kit, is a
remarkably effective substrate for practicing suturing techniques, and sutures can be placed, and removed

repeatedly along the same incision line!

REQUIREMENTS

• A 4 X 6 inches (10 x 15 cm) piece of imitation skin
• The large scissors
• The small scissors
• A pen and ruler (a skin marker pen and ruler is available in The Apprentice Doctor® Basic Medical Kit)

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• Handle sharp objects and instruments once – minimize the handling of sharps. Surgeons should get into

the habit of taking scalpels and assembled needles for suturing directly from the instrument tray. Do not
ask the assisting theatre sister to hand you such sharp instruments/items if at all possible. Many “sharps”

injuries in theatre occur during the transfer of “sharps” from one person to the other.

STEP 1

One sheet of imitation skin can be used to create ±3

imitation lacerations. Divide the imitation skin sheets

into 3 sub-sections and draw 3 straight lines of ± 11cm
(4 inches) on it - as indicated in the diagram.

Preparatory Projects

The Apprentice Doctor® E-book

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STEP 4

Use the sharp-sharp scissors and push oneblade into
the skin at one end of the horizontal line and cut the full

thickness of the skin along the straight line up to the

end of the 11cm (4 inches) horizontal line. (The larger

scissors will be more effective in cutting the imitation

skin). Repeat the same procedure with the other 2 lines

to create 3 imitation lacerations. These cuts represent
surgical incisions or traumatic lacerations in the skin.

POINTS OF INTEREST

• In a recent survey in the state of Virginia, U.S.A, minor soft tissue injuries like abrasions, lacerations and

contusions ranked as the third most common reason why patients visited their family physician.

• A neat suture technique will go a long way to avoiding ugly scarring and the need for scar revision by a

plastic surgeon

• The saying “practice makes perfect” is especially true in this regard!

STEP 2

Make a short 5 mm (¼ inch) vertical line at 90

degrees to the straight line - in the middle of
each of these 3 lines.

STEP 3

Divide each of these halves into quarters and draw

another two short 5 mm (¼ inch) vertical lines in these
regions. (These lines will enable you to check the

alignment of the skin following closure of the laceration

with sutures).

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