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Subcuticular closure with absorbable suture

Subcuticular closure with absorbable suture
The suture is anchored at one end of the laceration (A). The plane chosen is either the dermis or just deep to the dermis in the superficial subcutaneous fascia. While maintaining this plane, "mirror image" bites are taken horizontally the full length of the wound (B). The final bite leaves a trailing loop of suture, as shown, so that the knot can be fashioned for final closure (C). This technique is commonly supplemented with wound tapes, particularly if there remains some degree of gapping of the edges.
Modified from: Trott AT. Wounds and lacerations: emergency care and closure, 2nd ed, Mosby Year Book, St. Louis 1997.
Graphic 71747 Version 2.0