Changes

If you are right handed, close the wound from top to bottom or from right to left. If you are left handed, close the wound from top to bottom or from left to right. Drive the needle through the tissue by facing it away from your body and towards the wound, keeping the needle holder between your body and the wound at all times. To appose the tissue edges take separate bites from each side of the wound. Only ever handle the ends of suture material with surgical instruments as you will reduce the tensile strength in areas that have been handled by instruments.

If you are right handed, close the wound from top to bottom or from right to left. If you are left handed, close the wound from top to bottom or from left to right. Drive the needle through the tissue by facing it away from your body and towards the wound, keeping the needle holder between your body and the wound at all times. To appose the tissue edges take separate bites from each side of the wound. Only ever handle the ends of suture material with surgical instruments as you will reduce the tensile strength in areas that have been handled by instruments.

Do not tie your sutures too tightly, as post op swelling can cause the sutures to ligate the tissue if they have been tied too tightly. Slide the knot away from the wound once you have tied it to reduce irritation to tissues post operatively. If when you are placing sutures you discover that there is significant tension on the wound edges, a second deeper layer of closure is needed.

Do not tie your sutures too tightly, as post op swelling can cause the sutures to ligate the tissue if they have been tied too tightly. Slide the knot away from the wound once you have tied it to reduce irritation to tissues post operatively. If, when you are placing sutures you discover that there is significant tension on the wound edges, a second deeper layer of closure is needed.