Simple interrupted suture (wound suturing) – OSCE Guide

GEEKY MEDICS SIMPLE INTERRUPTED SUTURE SETUP Load the needle between
the apex of its curvature and TWO THIRDS from the NEEDLE TIP. Straighten out the suture. OUT TO IN – Gently lift the skin
with the forceps. Pierce the skin surface with the needle
PERPENDICULAR to the skin. Supinate your wrist so that the needle
passes through the dermis and rises out of the MIDDLE
of the wound. Re-grasp the needle
and lift it out of the wound. Use your FORCEPS to hold the needle
whilst you reload your needle holder. Lift the OPPOSING skin edge
with your forceps. Use the CURVATURE of the needle
and SUPINATE your WRIST to move the needle through the skin. There should be EQUAL needle bites
of DEPTH and DISTANCE from the wound edge. Pull the suture through so there is
approximately 3CM of length on the opposing side. KNOT TIE – Loop the suture
AWAY from you around the needle holder TWICE. Grasp the SUTURE END
with your needle holder.

Pull the needle holder TOWARDS YOU and push your non-dominant hand
AWAY to lay the first knot. Loop the suture BACK TOWARDS YOU
around the needle holder ONCE. Grasp the SUTURE END
with your needle holder. Push the needle holder AWAY from you and bring your NON-DOMINANT hand
TOWARDS you to lay the second knot. Loop the suture AWAY from you
around the needle holder ONCE, then grasp the SUTURE END. Pull the needle holder TOWARDS you and push your NON-DOMINANT hand
AWAY to lay the final knot. Pull the knot to ONE SIDE so that
it is NOT overlying the wound.

Trim the suture ends to 5-6MM in length. Repeat the process until
wound closure is achieved. DISCLAIMER – READ ON-SCREEN TEXT.

As found on YouTube

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