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Subject: Basic Instrument Suture Tie
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Instruments for skin suture placement are found in Appendix G and can be ordered through local surgical supply houses.
Suture materials can be ordered from Ethicon, Somerville, NJ. Web site: http://ecatalog.ethicon.com/EC_ECATALOG/ethicon/default.asp.
Closure of wounds
Anchoring tubes and devices to the skin
None specifically; see specific suture technique chapters.
Pearl: A shorter suture tail (about 2 cm) is much easier to work with and better conserves suture than a long tail.
PITFALL: Do not let go of or reposition the hands, suture, or needle driver until the tie is completed. This method relies on the progressive placement of the hands in each step to correctly tie the knot.
Pearl: When in doubt about the number of throws to use, remember that five throws will work for most sutures.
Strangulation of skin edges because of excessive tension