This morning, I was attending a workshop on how to perform a simple suture on a gap wound at A&E Dept, Tg Karang Hospital. Having a needle holder on my right hand and a tissue forceps on the left drive me a step forward on emergency medicine.
Being a doctor is not only building a relationship with patients and colleagues but also developing soft skills. On suturing a wound, as a doctor you have to bring out your inner creativity as it may have a cosmetic value later.
from left : silk (black), nylon (blue) and cat gut (brown)
simple continuous suture
this one is not mine
Suturing a wound on a face need a very small gap between every sutures and has to be removed within 5 days maximally. In contrast, a suture done on the hand will have TCA about 7 days after and even longer on palm and sole up to 10 days.
The thread used can be classified as absorbable or non-absorbable one. The only absorbable thread use is of cat gut origin. This is the one that often used during circumcision. The other type either nylon or silk.
TCA - To come again