Suturing a Wound – Part III – Layered Closure

In Part III Dr. Cady addresses a deeper, gaping wound, demonstrating how to perform a layered closure.

This video offers a much better view of the tissues than is usually seen in a bleeding patient, but practicing on an easy “patient” first will make it easier once you’re confronted with a live one.

Notice he says to use an absorbable suture for closing the deep layer.  Using a non-absorbable (nylon) suture (which he is actually using for demonstration purposes) will result in permanent internal sutures, which may cause chronic irritation.  Sometimes even absorbable sutures do not absorb, and gradually work their way to the surface.


About Cynthia J. Koelker, MD

CYNTHIA J KOELKER , MD is a board-certified family physician with over twenty years of clinical experience. A member of American Mensa, Dr. Koelker holds degrees in biology, humanities, medicine, and music from M.I.T., Case Western Reserve University School of Medicine, and the University of Akron. She served in the National Health Service Corps to finance her medical education.
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