Contents
chapter 0
# Introduction
# How I developed a keen interest for suturing
# Case studies with inadequate sutures
# Purpose of suture
# Suturing and more
chapter 1
# Classification of the needles based on the thread connection
# Cross-section of the needle
# What’s wrong with torn flaps?
# Needle Curvatures
# Suture Material and Composition
# Classification of suture based on diameter
# Sutures used by the author
# Types and sizes of the suture material: clinical cases
# Suture comparison videos
# Suture trio – The needle holder, the scissors and the tissue pliers
# How to hold a needle holder
# Where to grab the needle
# Connection angle between the needle holder and the needle
# When confused, first position the needle holder
# Free yourself from conventional needle rotation
chapter 2
# About the knot
# About the square knot
# Granny knot
# Instrument tie
# Forget about Clockwise and Counter Clockwise!
# Use the surgeon’s knot if you want something tighter than the square knot
# SNAP! A knot that won’t come loose
# The finale. Practice. It’s real
# Principles of entering and exiting the flap
# Know more knots?
# Summary
chapter 3
# Interrupted suture
# What is the ideal distance between sutures?
# Continuous suture
# Continuous locking suture
# Figure 8 suture
# Mattress suture
1.Horizontal internal mattress (HIM) suture – Praying hands
2.Horizontal external mattress (HEM) suture
3.X suture
4.Hidden X suture
5.Modified Latrell suture
6.Vertical mattress suture
chapter 4
1.Flap folding suture and tug-in suture
2.Sling suture (= Suspension suture)
3.Anchor suture
4.Modified anchored vertical/horizontal mattress sutures
5.Suspended external-internal suture (SEIS)
6.Periosteal vertical mattress suture (PVMS)
7.Offset suture
8.Deep tie (also known as Circumferential suture)
9.Self-retraction suture
chapter 5
# When should stitch out be done?
# How do you choose suture material?
# Collection of case by suturing