What is a surgical suture

Surgical sewing: single button seams made easy


The second part of the tutorial series is about surgical instruments: Dr. Philipp Wimmer shows the single button seam - from removing the thread to execution.

While the previous issue was still tied to the nail board, today we are already dealing with the real instruments: To practice the single button suture, you need surgical tweezers, a needle holder and scissors. A thicker monofilament thread of size 2-0 is best to start with, as it is easy to see.
When removing the needle-thread combination from the packaging, it is best to hold the needle by the back third of the needle, but never right at the transition between the needle and the thread. The thread could become detached from the holder of the needle and would therefore be unusable. The

The best way to grip the cutlery to hold the needle is to grasp the openings with your thumb and ring finger and point your index finger at the hinge.
You can now begin: start the suture on the side of the wound facing you. Place the needle on the skin at a 90-degree angle and stick it in. Now use the curvature of the needle under the turning movement. The needle now comes out in the edge of the wound, not on the other side of the wound. The thread can now be pulled through a little. Now it is important to cut out again on the opposite side, ideally at exactly the same height. The stitch on the other side of the wound edge should always be an imitation of the other person as exactly as possible. The stitch is closed with a surgical knot.

06/28/2018 | Surgery | Video contribution | Online article

Backstitch: Two are better than one

Sutures are an important part of surgery. The advantage over the single button suture is a good adaptation of the wound edges as well as a higher stability of the wound suture. The methods presented each have their advantages and disadvantages.