Suture skills replies

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DISCUSSION POST # 1 Reply to Dianne

For this week’s discussion, I chose to review the suture skills course. Generally, my feedback on the video is that it refreshed me on the basic skills in suturing. Currently, I am not immense with cases that need suturing. However, in the future, these skills may be of great advantage because working in primary care is often called upon to assess and repair wounds. Learning and reviewing videos like those in this discussion is important for nurse practitioners to obtain operative confidence. Mastering the fundamentals of surgical techniques, particularly the basics of suturing and tissue handling can lead to success in suturing patients in the clinical setting.  However, aside from the practical approach, it is also important to emphasize in the video the concepts of eversion, inversion, and careful approximation of the high and low edges of the skin (Kachare et al., 2019). In order to achieve tissue eversion, it is important to insert and remove the needle at an angle of 90° or more. If the tissue is not properly everted or if the needle is not angled correctly, tissue inversion may occur. When suturing uneven edges, taking a deep bite on the lower side and a shallow bite on the higher side will help ensure proper tissue alignment. For sutures that are buried within the tissue, it is crucial to create skin eversion by taking substantial dermal bites and placing the knots correctly (Kachare et al., 2019). In conclusion, the video presented may give a good advantage to nurses with acquired suturing skills, but it is also important to include the concepts that were mentioned in the discussion for more efficient performance.

DISCUSSION POST #2 Reply to Reesha

For this week's discussion, I have opted to view the suturing technique video. The video was a great visual on the different types of options for sutures and under what circumstances each one may be necessary. The types of sutures that were discussed were Instrument Tie, Simple Interrupted Tie, Simple Buried Suture, Vertical Mattress Suture, Horizontal Mattress Suture, Figure-of-8, Half Buried Suture, Simple Running Suture, Simple Running Locking Suture and Subcuticular Running Suture. There are two types of sutures, absorbable and non-absorbable. Non-absorbable sutures are preferred because they provide great tensile strength, and the body’s chemicals will not dissolve them during the natural healing process. The choice of suture and technique depends on the type of wound, depth, degree of tension, and desired cosmetic results. Simple interrupted sutures have the advantage of more cosmetically appealing results, as the use of separate stitches allows for a better approximation of the skin and fascia. They provide greater tensile strength and have less risk of injuring cutaneous circulation. Also, in the case of an infection, the entire length of sutures would not need to come out (Azmat & Council, 2022). I have also learned that for a wound that is deeper a mattress stitch can be placed, providing better strength. The deeper penetration into the skin layers minimizes tension and allows for better closure at the wound edges. They can be thrown in as temporary stitches are removed after the tension is more evenly distributed across the wound. The techniques shown through this video are a great learning tool and resource and I will follow along with my suture kits should I ever need to brush on these essential skills.