Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair, Second Edition

by Jonathan Kantor

Overview

August 2022: Access extra content in our updated links and QR codes—available in print and ebook versions of the book

This accessible, meticulously illustrated atlas provides everything you need to effectively treat wounds and conduct surgical, reconstructive, and cosmetic repairs with minimal scarring

Understanding the subtleties of suture choice and placement often makes the difference between positive and negative patient outcomes. The Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair, Second Edition provides the information and insight readers need to surgically treat a range of wounds and surgical defects—from simple lacerations to complex reconstructive surgery—with the utmost expertise.

Presented in an at-a-glance format and packed with 450 photos and illustrations, this guide kicks off with chapters on principles of wound management and wound repair, then describes equipment, positioning, key principles, and 85+ suture techniques—complete with step-by-step instructions adjacent to drawings and photos of the techniques. Finally, it covers each area of anatomy, guiding the practitioner in which suture to use when and how to modify certain sutures in specific locations.

Techniques are diagrammatically illustrated and supplemented by the online videos, and the author includes tips and pearls for each technique, as well as caveats, drawbacks and cautions. This updated edition includes new sections on:

• Laceration repair
• Pin-point pexing sutures
• Leveling sutures
• Three-dimensional continuous suturing
• Basting sutures
• And more

Product Details

ISBN-13:	9781264264407
Publisher:	McGraw Hill LLC
Publication date:	04/05/2022
Sold by:	Barnes & Noble
Format:	eBook
Pages:	416
Sales rank:	984,457
File size:	41 MB
Note:	This product may take a few minutes to download.

About the Author

Dr. Jonathan Kantor, MD, MSCE, MA, MSt, MSc is with the Department of Dermatology, Center for Global Health, and Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania Perelman School of Medicine, and Florida Center for Dermatology. He is the founding editor of the Journal of the American Academy of Dermatology International.

Table of Contents

Foreword to the First Edition xi

Foreword to the Second Edition xiii

Chapter 1 Introduction 1

Chapter 2 The Surgical Tray 5

Chapter 3 Suture Materials, Knot Tying, and Postoperative Care 11

Chapter 4 Suture Techniques for Deeper Structures: The Fascia and Dermis 23

4.1 The Simple Buried Dermal Suture 24

4.2 The Set-Back Dermal Suture 27

4.3 The Buried Vertical Mattress Suture 31

4.4 The Buried Horizontal Mattress Suture 35

4.5 The Butterfly Suture 38

4.6 The Fascial Plication Suture 42

4.7 The Running Subcuticular Suture 46

4.8 The Backing Out Running Subcuticular Suture 52

4.9 The Percutaneous Vertical Mattress Suture 57

4.10 The Percutaneous Set-Back Dermal Suture 61

4.11 The Percutaneous Horizontal Mattress Suture 66

4.12 The Running Buried Dermal Suture 70

4.13 The Running Set-Back Dermal Suture 73

4.14 The Running Buried Vertical Mattress Suture 77

4.15 The Running Percutaneous Set-Back Dermal Suture 81

4.16 The Running Percutaneous Buried Vertical Mattress Suture 86

4.17 The Pulley Buried Dermal Suture 91

4.18 The Pulley Set-Back Dermal Suture 96

4.19 The Pulley Buried Vertical Mattress Suture 101

4.20 The Half Pulley Buried Vertical Mattress Suture 106

4.21 The Double Butterfly Suture 110

4.22 The Half Pulley Buried Dermal Suture 115

4.23 The Modified Buried Horizontal Mattress Suture 118

4.24 The Suspension Suture 123

4.25 The Percutaneous Suspension Suture 127

4.26 The Pinpoint Pexing Suspension Suture 130

4.27 The Tie-Over Suture 134

4.28 The Buried Vertical Mattress Suspension Suture 137

4.29 The Corset Plication Suture 141

4.30 The Imbrication Suture 145

4.31 The Guitar String Suture 148

4.32 The Dog-Ear Tacking Suture 151

4.33 The Buried Purse-String Suture 154

4.34 The Percutaneous Purse-String Suture 158

4.35 The Figure 8 Double Purse-String Suture 162

4.36 The Stacked Double Purse-String Suture 166

4.37 The Bootlace Suture 170

4.38 The Buried Tip Stitch 174

4.39 The Backtracking Running Butterfly Suture 177

4.40 The Stacked Backing Out Subcuticular Suture Technique 181

4.41 The Running Locked Intradermal Suture 186

4.42 The Buried Dog-Ear Tip Stitch 190

4.43 The Buried Leveling Suture 194

Chapter 5 Suture Techniques for Superficial Structures: Transepidermal Approaches 197

5.1 The Simple Interrupted Suture 198

5.2 The Depth-Correcting Simple Interrupted Suture 201

5.3 The Leveling Suture 204

5.4 The Simple Running Suture 207

5.5 The Running Locking Suture 212

5.6 The Horizontal Mattress Suture 217

5.7 The Locking Horizontal Mattress Suture 221

5.8 The Inverting Horizontal Mattress Suture 225

5.9 The Running Horizontal Mattress Suture 228

5.10 The Running Horizontal Mattress Suture with Intermittent Simple Loops 232

5.11 The Running Alternating Simple and Horizontal Mattress Suture 237

5.12 The Running Locking Horizontal Mattress Suture 241

5.13 The Cruciate Mattress Suture 245

5.14 The Running Oblique Mattress Suture 248

5.15 The Double Locking Horizontal Mattress Suture 251

5.16 The Running Diagonal Mattress Suture 256

5.17 The Vertical Mattress Suture 260

5.18 The Shorthand Vertical Mattress Suture 264

5.19 The Locking Vertical Mattress Suture 267

5.20 The Running Vertical Mattress Suture 271

5.21 The Running Alternating Simple and Vertical Mattress Suture 275

5.22 The Hybrid Mattress Suture 280

5.23 The Tip Stitch 283

5.24 The Vertical Mattress Tip Stitch 286

5.25 The Hybrid Mattress Tip Stitch 290

5.26 The Percutaneous Tip Stitch 294

5.27 The Pulley Suture 298

5.28 The Purse-String Suture 301

5.29 The Winch Stitch 306

5.30 The Dynamic Winch Stitch 309

5.31 The Lembert Suture 312

5.32 The Combined Horizontal Mattress and Simple Interrupted Suture 315

5.33 The Lattice Stitch 319

5.34 The Adhesive Strip Bolster Technique 323

5.35 The Frost Suture 327

5.36 The Running Pleated Suture 329

5.37 The Running Bolster Suture 333

5.38 The Combined Vertical Mattress-Dermal Suture 336

5.39 The Cross Stitch 340

5.40 The Basting Suture 344

5.41 The Snug Tip Stitch 348

5.42 The Dog-Ear Tip Stitch 351

5.43 The Percutaneous Dog-Ear Tip Stitch 355

5.44 The Three-Dimensional Percutaneous Dog-Ear tip Stitch 359

Chapter 6 Suturing Tips and Approaches by Anatomical Location 365

6.1 The Chest, Back, and Shoulders 366

6.2 The Arms 370

6.3 The Legs 373

6.4 The Hands and Feet 376

6.5 The Scalp 378

6.6 The Forehead 380

6.7 The Eyelids 382

6.8 The Lips 384

6.9 The Nose 386

6.10 The Ears 389

Chapter 7 Approach to Technique Selection by Closure Type 391

Index 395