Suturing Techniques for Optimal Surgical Outcomes

Abstract

Surgical outcomes in cutaneous surgery are impacted by preoperative design, excision, and repair. Optimal suturing technique plays an important role in skin repairs and is achieved through appropriate selection of suture material and needle points, gentle handling of the tissue, and properly placed sutures. This review addresses the above key principles, strategies for correct knot tying, and situations where special sutures may promote a better outcome.

Main pitfalls of skin surgical suturing - review for junior surgeons and medical students

“…It is desirable to grasp the needle perpendicular to the long axis of the needle driver 3 . Some surgeons prefer to suture using their wrist; it is then necessary to grasp the needle at a 15-30° angle to the long axis of the needle driver so that it follows the natural range of motion of the surgeon's wrist 8 . The skin needs to be penetrated at precisely 90° angle to prevent any unwanted tissue inversion (Fig.…”

Las dificultades principales de la sutura quirúrgica del piel - una revisión para cirujanos jóvenes y los estudiantes de medicina

“…It is desirable to grasp the needle perpendicular to the long axis of the needle driver 3 . Some surgeons prefer to suture using their wrist; it is then necessary to grasp the needle at a 15-30° angle to the long axis of the needle driver so that it follows the natural range of motion of the surgeon's wrist 8 . The skin needs to be penetrated at precisely 90° angle to prevent any unwanted tissue inversion (Fig.…”

“…We can apply the slip knot when distant tissue approximation is necessary; it is then compulsory to add more knots on top of the tightened slip knot to ensure it will not get loose 1 . A minimum of three knots is necessary 8 . Some surgeons emphasize tying the knot by swirling the needle driver around the stationary thread, rather than wrapping the thread around the needle driver.…”