Basic Suturing Skill

Objectives

 Basic knot tying

 Handling of basic suturing instruments
 Basic wound suturing
Basic Knot Tying

 Proper direction of pull of the

bitter ends
Basic Knot Tying

 Loop
– one over the other end
– tension distributed equally to each end
Basic Knot Tying

 Half Hitch
– differ from simple loop by the direction of
pull Standing
End

Working
End
Basic Knot Tying

 Proper placement of the bitter

ends in making the loop
Basic Knot Tying

 Square Knot
– 2 ends over the loop on each side
Basic Knot Tying

 Granny Knot
– one end over the loop on each side
Basic Knot Tying

 Which hand to use for tying?

– if right handed, left
– if left handed, right
Basic Knot Tying

 Types of basic knot tying:

1. One handed tie
2. Two handed tie
3. Instrument tie
Basic Knot Tying

 One Hand tie

– allows free hand to hold an instrument
Basic Knot Tying

 Two Hand tie

– utilizes fingers of both hands to create a
loop
Basic Knot Tying

 Instrument tie
– utilizes a clamping instrument to grasp
ends of the tie to form a loop
Handling of Instruments

 Instruments often used:

1. Needle holder
2. Forceps
3. Scissors
Handling of Instruments

 Needle Holder
1. thumb & ring finger into it rings
Handling of Instruments

 Needle Holder
2. palm grip
Handling of Instruments

 Needle Holder
3. “compromise” grip
– only the ring finger inside the ring
Handling of Instruments

 Needle Holder
Handling of Instruments

 Forceps
 hold with thumb & index fingers
Handling of Instruments

 Scissors
Basic Wound Suturing

 Simple interrupted suturing

Basic Wound Suturing

 Vertical Mattress
Basic Wound Suturing

 Horizontal Mattress
Summary

 Loop
 Square Knot
 proper direction & placement
of the suture ends
– to secure the knot to avoid
knot slippage
Conclusion

 proper handling of
instruments
 avoid holding the suture
needle
 arching movement of the
suture needle during suturing
Thank You