In the case of abrasions, incisions or small lacerations, it is essential to stitch up the wound in order to facilitate the healing process and reduce the formation of scar tissue. Although serious cases should be referred to a doctor, it is useful to learn some simple ways of stitching when a sore is minor. This article provides information on different types of stitching and how the same can be used.
Preparation is Key
It is very important to take certain precautions in order to prevent infections before making any stitches. First of all, it is recommended to wash your hands thoroughly, and if there are gloves – to wear them. Wash the wound thoroughly using an antiseptic solution and in case there is some extra tissue around the wound, it is advisable to cut it off. It is very important to prepare well for the stitching process so that one does not develop complications during the process.
Simple Interrupted Sutures
The simplest method of suturing is the simple interrupted suture. In this method, the needle is placed at one end of the wound and the other end of the needle is taken out from the other end of the wound. Now the thread is pulled through and left a small piece of thread that will be tied in the end. The needle is reinserted to a position just beyond the first stitch, and the needle is again brought out and thus a series of individual stitches is made along the wound. This technique is appreciated for its simplicity and efficacy, it offers a very good closure and it is quite simple to undo in case it is needed. It is most effective for use in small to medium sized wounds.
Continuous (Running) Sutures
The continuous suture method is the one which uses a single thread to place the stitch on the entire length of the wound in a single line. The needle is inserted and removed through the tissue along the wound and the threads are not tied individually. This technique is faster than the interrupted suture method and is mostly used for the longer wounds. It offers a good closure but you need to be very cautious so as not to create some problems like tension or uneven spacing.
Mattress Sutures
Mattress sutures are used when there is need to apply more tension on the wound or when there is need to work on deeper tissue layers. In this technique, the needle is inserted at some distance away from the wound edge, is then taken to the other side and then brought out close to the initial point, thus creating a ‘mattress’ like suture. This technique assists in approximation of tissues and gives some form of support to the wound area. It is especially helpful in regions which require additional force.
Stitching Process
Stitching is the process of joining two or more pieces of fabric and it has a number of steps. Firstly, take the needle with the needle holder and introduce it into one end of the wound and make sure that the needle goes through all the tissues. Then having pulled the thread through, leave a small tail which can be tied later on. For interrupted and mattress stitches, one has to tie a knot at the end of each stitch in order to hold it in place. For continuous sutures one should tie knots at the commencement and at the end of the stitching line. When done, cut off any extraneous thread near the knots, but not too near so as to not undo the previous work. To get the procedure done visit a General Surgeon in Islamabad.
Post-Stitching Care
Lastly it is crucial to ensure that the wound is well taken care of after the stitching has been done. Apply antiseptic on the area to reduce chances of infection and then put a clean dressing on the wound to avoid exposure to dirt and germs. Check the wound for redness, swelling or pus discharge as this may be a sign that the wound is infected. If any of these symptoms occur, then one should consult a doctor. Stitches should be removed in 5-7 days, but this depends on the type of wound and where it is located, and a doctor can help in the removal of the stitches.
When is it Time to Get Professional Assistance?
If the wound is more severe or if you are not sure of its extent then it is advisable to consult a doctor. Cuts and puncture wounds which are severe, swollen, or red, or any other wound that you think needs the attention of a health professional should be taken to a doctor to prevent complications.
These simple stitching techniques are useful in managing simple injuries that may occur in the course of day to day activities. But still, it is advisable to seek the services of a Best General Surgeon in Lahore for severe injuries or any other time you have doubts about the treatment.
