BBASS rounds up the series on stitching talking how we bring tissues layers together. The principles of stitching apply to continuous stitches and the tension of the suture is of utmost importance. BBASS will also discuss when and where to use drains. Finally we will address how to close the skin and talk about dressings.

Summary

This session brings together all the principles of stitching discussed to date. Closing a wound requires an understanding of anatomy (blood supply) and function and potential space. The tension of the stitch is important - apposition rather than strangulation. We look at how to secure a knot in deep tissues and when to use a drain. BBASS outlines how to close the skin and discusses dressings.

Learning objectives

1. Understand the importance of maintaining alignment of tissue layers. 2. Understand the difference between apposition and strangulation of tissue related to suture tension. 3. Know when to use a continuous versus an interrupted stitch. 4. What suture to use in deep tissues. 5. Understand when to use drains and what drains to use. 6. Understand how to close the skin.

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