Running subcuticular suturing

running subcuticular suture
Olek Remesz (wiki-pl: Orem, commons: Orem), CC BY-SA 2.5, via Wikimedia Commons

1. 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 same plane approximately 5-10mm along the wound, taking care to stay at the same level.

3. Continue step 2 in serpentine fashion on opposing sides maintaining same depth and length until proximal apex of the wound is reached.

4. Once the apex is reached, a buried knot is secured using instrumented tied with a loop of suture or an ‘Aberdeen knot‘.

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