SURGICAL KNOT TYING
"C" position formed by thumb and index finger
The suture will alternate over the thumb and then the index for each throw - ANS-What is the
basic position for the 2-hand tie?
Always start w/ double wrap (surgeon's knot)
Then use a single wrap, pulling suture in opposite directions after every "throw" - ANS-How is
an instrument knot tied?
As many as attending surgeon wants - ANS-How many (correct) throws are necessary to
ensure that your knots do not slip?
As soon as wound has healed enough to withstand expected mechanical trauma.
Any stitch left in >10 days will leave scar
Guidelines:
Face - 3-5d
Extremities - 10d
Joints - 10-14d
Back - 14d
Abdomen - 7d - ANS-When should skin sutures be removed?
Depends on suture material.
Silk - 3
Gut - 4
Vicryl, Dexon, other braided synthetics - 4
Nylon, polyster, polypropylene, PDS, Maxon - 6 - ANS-What are the guidelines for the number
of minimal throws needed?
Double wrap throw followed by single square knot throws - ANS-What is a "surgeon's knot"
Instrument knot - ANS-What is the first knot that should be mastered
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