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This guide demonstrates how to perform a subcuticular suture, including step-by-step images of the key stages involved. This guide focuses on a buried continuous dermal suture which is typically used to approximate the most superficial skin edges.
Learn how to perform a subcuticular suture: anchor and bury the starting knot, run the subQ stitch, and end with an Aberdeen (fisherman's) knot.
Placed intradermally, the subcuticular running-type suture is used for cosmetic closure of a straight, clean laceration under no tension, typically of the face or neck and using absorbable suture.
Subcuticular suturing is a widely used technique in wound closure that has gained popularity among surgeons for its ability to offer improved cosmetic results.
Duretti Fufa, MD, demonstrates a running subcuticular suture.
Running Subcuticular Suture | The Cadaver-Based Suturing Self‑Study Course. From a medical journal. Watch on. Start with a buried knot at distal apex of the wound. 2. Take a bite deep to the epidermis that should curve parallel to the skin surface and exit in the…
Subcuticular Suture technique demonstrated using VATA’s 3500 Suture SkillsTrainer, a convenient and high-quality solution for learning and mastering suturing...
The subcuticular suture technique is not designed to hold tension irrespective of anatomic location. Since its utility is limited to fine-tuning epidermal approximation, 5-0 or 6-0 suture is often useful when adopting this technique.
The subcuticular suture is placed beneath the skin surface, in the dermal layer, minimizing scarring and providing a secure wound closure. This technique is ideal for various surgical procedures, particularly in areas where cosmetic appearance is a priority.
Simple Subcuticular common errors. The most common error occurs when the two ends of the suture come out on either side of the wound. This causes the knot to sit on top of the suture instead of tucking underneath. The wound will not come together as well and the knot will not bury.