Ten Principles of Suturing (Part 3)

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7. The needle should be passed from the thinner to the thicker side.

Thinner to thicker side

8. The needle should be passed from the deeper to the superficial side.

Deeper to superficial side

9. The knot should be placed away from incision line.

The knot placed away from incision line

10. Suture should be placed about 3-4 mm apart.

Each suture distance

Ten Principles of Suturing (part 2)

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4. The suture should be placed at equal distance from both cut ends, approximately 2-3 mm.

Equal distance margin

5. If the edges are at different levels. Passing of the suture closer to the edge of the lower side and further from the edge of the higher side.

Lower closer, higher further

6. The needle should always be passed from free flap to the fixed tissue.

Free to fixed side

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How to suture wound tissue?? - Ten Principles of Suturing- (Part I)

Taken from textbook "Illustrated Manual of Oral and Maxillofacial Surgery"

1. The needle should be placed approximately 1/4 from its threaded end. Any closer to the suture will cause its breakage .

Needle handling

2. Needle penetration should be perpendicular to surface tissue 

Put needle 90 degrees to tissue surface

3. The Needle should be move in tissue according to its curvature

Move needle as its curvature

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