Wound closure using interrupted or continuous sutures.
Indications
- • Clean lacerations < 6h old (or up to 24h on face)
- • Post-op skin closure
Contraindications
- ⚠ Grossly contaminated wounds
- ⚠ Animal bites (delayed closure)
- ⚠ Infected wounds
Equipment
- • Sterile suture kit (needle holder, forceps, scissors)
- • Suture (nylon 3-0 to 5-0)
- • Local anesthetic
- • Antiseptic
- • Sterile drape
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/7)
Tap to complete
Copious saline irrigation.
Pearl: Solution to pollution is dilution
Immediate complications
- ⚠ Bleeding
- ⚠ Nerve injury
- ⚠ Poor apposition
Delayed complications
- • Infection
- • Scarring
- • Wound dehiscence
Recognition
- • Redness, discharge, dehiscence
Initial management
- • Wound review; antibiotics if infected
Prevention
- • Aseptic technique
- • Proper technique
- • Tension-free closure
Post-procedure observation
- • Wound review 48h
Monitoring
- • Signs of infection
Documentation
- • Wound description, sutures used
Patient instructions
- • Keep dry 24–48h
- • Suture removal timeline
Related in WardRound
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
