Suturing for Optimal Soft-Tissue Management
Establishing nontension primary wound closure of various soft tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation, such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard and soft tissue regeneration, and the excision of pathologic tissue, also require excellence in execution. Also paramount to clinical success is a thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This article will discuss the rationale of specific suturing techniques and suture materials to help the clinician obtain optimal wound closure.Abstract
(a) Surgeon's knot, step 1: the suture needle is wound around the needle holder twice in the direction of the wound. (b) Surgeon's knot, step 2: the free end of the suture is grabbed with the needle holder and the knot is tightened to the tissue. (c) Surgeon's knot, step 3: the suture needle is wound around the needle holder once away from the wound, and then the free end of the suture is grasped and tightened, completing the knot.
