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Suturing and Wound Closure

Select appropriate suture materials and closure techniques, tie secure knots, and manage a wound from preparation through closure with attention to tension and eversion.

What this track covers

This track covers the core decisions behind wound closure: choosing suture material and size, tying reliable knots, and selecting a closure technique suited to the wound. It moves from simple interrupted and running sutures through mattress, subcuticular, and layered closures, with attention to wound edge preparation and tension management.

What you will practice

  • Choosing absorbable vs non-absorbable and monofilament vs braided suture for a given wound
  • Tying a secure instrument tie and surgeon's knot without slippage
  • Deciding between simple interrupted, running, and locking stitches
  • Selecting a mattress, figure-of-eight, or subcuticular technique for wound characteristics
  • Assessing wound edge eversion and tension before and after closure

Simulator scenario

A simulator case presenting a jagged forearm laceration with uneven wound edges, requiring the clinician to choose a closure technique and suture material and complete the closure within a time limit.

Board question topics

  • Suture material selection by wound type
  • Knot security and tying technique
  • Choosing a closure technique for wound characteristics
  • Wound preparation and tension reduction principles

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