Table of Contents

1. INTRODUCTION 1
2. THE SURGICAL TRAY 5
3. SUTURE MATERIALS, KNOT TYING, AND POSTOPERATIVE CARE 11
4. SUTURE TECHNIQUES FOR DEEPER STRUCTURES: THE FASCIA AND DERMIS 23
4.1. The Simple Buried Dermal Suture 24
4.2. The Set-Back Dermal Suture 27
4.3. The Buried Vertical Mattress Suture 31
4.4. The Buried Horizontal Mattress Suture 35
4.5. The Butterfly Suture 38
4.6. The Running Subcuticular Suture 42
4.7. The Backing Out Running Subcuticular Suture 48
4.8. The Percutaneous Vertical Mattress Suture 52
4.9. The Percutaneous Set-Back Dermal Suture 56
4.10. The Percutaneous Horizontal Mattress Suture 61
4.11. The Running Buried Dermal Suture 65
4.12. The Running Set-Back Dermal Suture 68
4.13. The Running Buried Vertical Mattress Suture 72
4.14. The Running Percutaneous Set-Back Dermal Suture 76
4.15. The Running Percutaneous Buried Vertical Mattress Suture 81
4.16. The Pulley Buried Dermal Suture 85
4.17. The Pulley Set-Back Dermal Suture 89
4.18. The Pulley Buried Vertical Mattress Suture 94
4.19. The Half Pulley Buried Vertical Mattress Suture 99
4.20. The Double Butterfly Suture 103
4.21. The Half Pulley Buried Dermal Suture 108
4.22. The Suspension Suture 111
4.23. The Percutaneous Suspension Suture 115
4.24. The Tie-Over Suture 118
4.25. The Buried Vertical Mattress Suspension Suture 121
4.26. The Fascial Plication Suture 124
4.27. The Corset Plication Suture 127
4.28. The Imbrication Suture 131
4.29. The Guitar String Suture 134
4.30. The Dog-Ear Tacking Suture 137
4.31. The Buried Purse-String Suture 140
4.32. The Percutaneous Purse-String Suture 144
4.33. The Figure 8 Double Purse-String Suture 148
4.34. The Stacked Double Purse-String Suture 152
4.35. The Bootlace Suture 156
4.36. The Buried Tip Stitch 160
4.37. The Backtracking Running Butterfly Suture 163
4.38. The Stacked Backing Out Subcuticular Suture 167
4.39. The Running Locked Intradermal Suture 171
5. SUTURE TECHNIQUES FOR SUPERFICIAL STRUCTURES: TRANSEPIDERMAL APPROACHES 175
5.1. The Simple Interrupted Suture 176
5.2. The Depth-Correcting Simple Interrupted Suture 179
5.3. The Simple Running Suture 182
5.4. The Running Locking Suture 187
5.5. The Horizontal Mattress Suture 192
5.6. The Locking Horizontal Mattress Suture 196
5.7. The Inverting Horizontal Mattress Suture 200
5.8. The Running Horizontal Mattress Suture 203
5.9. The Running Horizontal Mattress Suture with Intermittent Simple Loops 207
5.10. The Running Alternating Simple and Horizontal Mattress Suture 212
5.11. The Running Locking Horizontal Mattress Suture 216
5.12. The Cruciate Mattress Suture 220
5.13. The Running Oblique Mattress Suture 223
5.14. The Double Locking Horizontal Mattress Suture 226
5.15. The Running Diagonal Mattress Suture 231
5.16. The Vertical Mattress Suture 235
5.17. The Shorthand Vertical Mattress Suture 239
5.18. The Locking Vertical Mattress Suture 242
5.19. The Running Vertical Mattress Suture 246
5.20. The Running Alternating Simple and Vertical Mattress Suture 250
5.21. The Hybrid Mattress Suture 255
5.22. The Tip Stitch 258
5.23. The Vertical Mattress Tip Stitch 261
5.24. The Hybrid Mattress Tip Stitch 265
5.25. The Pulley Suture 269
5.26. The Purse-String Suture 272
5.27. The Winch Stitch 276
5.28. The Dynamic Winch Stitch 279
5.29. The Lembert Suture 283
5.30. The Combined Horizontal Mattress and Simple Interrupted Suture 286
5.31. The Lattice Stitch 290
5.32. The Adhesive Strip Bolster Technique 293
5.33. The Frost Suture 297
5.34. The Running Pleated Suture 299
5.35. The Running Bolster Suture 303
5.36. The Combined Vertical Mattress-Dermal Suture 306
5.37. The Cross Stitch 310
6. SUTURING TIPS AND APPROACHES BY ANATOMICAL LOCATION 315
6.1. The Chest, Back, and Shoulders 316
6.2. The Arms 320
6.3. The Legs 323
6.4. The Hands and Feet 326
6.5. The Scalp 328
5.6. The Forehead 330
6.7. The Eyelids 332
6.8. The Lips 334
6.9. The Nose 336
6.10. The Ears 339
Index 341