basic suture patterns
TRANSCRIPT
FUNDAMENTAL SURGERY
Basic Suture Patterns
Dr. Satyajeet SinghM.V. Sc.
Department of Veterinary Surgery and RadiologyDUVASU, Mathura
Classification of suture patterns
•Interrupted/Continuous•Appositional/Inverting/Everting•Simple/Tension
Appositional suture patterns
Simple interrupted s.
enterexit
SIMPLE CONTINUOUS
Appositional suture patterns
Appositional suture patterns Continuous lock (Ford interlocking or lock stitch)
Appositional suture patterns
Interrupted cruciate (Cross or X- mattress)
1
2
3
4
Tension sutures
Interrupted horizontal mattress s.
With stents Without stents
Tension suturesContinuous horizontal mattress
Tension sutures Interrupted vertical mattress s.
Tension suturesQuilled
Tension sutures
1
2
34
12 3
4
Far-far-near-near
Far-near-near-far
Appositional suture patternsInterrupted intradermal (subcuticular) (buried knot)
epidermisdermissubcutis
12
34
Appositional suture patterns
Continuous intradermal (subcuticular)
Suture Patterns Used Suture Patterns Used for Hollow Organsfor Hollow Organs
Inverting suture patterns
Lembert (interrupted or continuous)
interrupted continuous
Inverting suture pattern Interrupted inverting mattress
Inverting suture patterns Halsted (Interrupted Quilt)
12
3
Inverting suture patterns Cushing and Connel
Cushing
Connel
Inverting suture patterns Parker-Kerr
Inverting suture patternPurse string
Purse string
Prolapsed rectum
Bladder
Suture for intestine
A- Simple interruptedB- Crushing Suture
Simple interrupted suture (enterectomy)
Appositional suture patterns Gambee suture
serosamuscularissubmucosamucosa
Tension sutures Sliding mattress (Mayo mattress) (vest-over-pants)
Tension suturesStent suture
Tendon Suture Pattern
Tendon suturingLocking loop (modified Kessler)