Respond to the 2 following discussion posts separately with separate reference lists. References to be no older than 5 years.
1.Lindsay Trent posted Sep 29, 2022 8:58 AM
Suturing is a technique that has been around for thousands of years to close cutaneous wounds (Ratner, 2020). The primary goals of suturing have remained the same: closing dead space, supporting and strengthening wounds until healing increases tensile strength, approximating skin edges for an aesthetically pleasing and functional result, and minimizing the risks of bleeding and infection (Ratner, 2020). There are multiple suturing techniques, and the choice depends on the type and location of the wound, thickness of the skin, degree of tension, and desired cosmetic result (Ratner, 2020). Suture techniques include simple interrupted, simple buried, vertical mattress, horizontal mattress, figure-of-8, half-buried, simple running, simple running locking, and subcuticular running (Zenn, 2013). Interrupted sutures are the most common and easy to place, have high tensile strength, and decrease the risk of edema and impaired circulation (Ratner, 2020; Zenn, 2013). However, interrupted sutures take longer to place and can often cause crosshatched marks or scarring across the suture line (Ratner, 2020). Simple buried sutures are the main suture that will be used when deep sutures are needed before skin sutures; for these sutures, it is important to start deep and end superficially to avoid buttonholing the skin (Zenn, 2013). Simple running sutures are more appropriate for longer wounds with deeper placed sutures that have already minimized wound tension whereas running locked sutures have increased tensile strength (Ratner, 2020). Vertical and horizontal mattress sutures maximize wound eversion, reduce dead space, and minimize tension across the round (Ratner, 2020). Half-buried vertical and horizontal mattress sutures are reserved for cosmetically important areas such as the face and provide better cosmetic outcomes (Ratner, 2020). Running subcuticular sutures can be used when space is minimal and dead space has been eliminated; the epidermis is only penetrated at the beginning and end of the suture line, minimizing crosshatching and provided the best possible cosmetic outcome (Ratner, 2020). In general, the success of any suturing technique has a lot to do with appropriate selection of sutures, needles, and needle holders (Ratner, 2020). The technique that is selected should allow for the smallest suture that will adequately hold the wound edges while ensuring the tensile strength of the suture does not exceed the tensile strength of the tissue (Ratner, 2020).
References
Ratner, D. (2020). Suturing techniques. Background, Indications, Technical Considerations. Retrieved 2022, from https://emedicine.medscape.com/article/1824895-overview