1. SUMMARY OF KNOTTING AND SUTURING TECHNIQUES Department of Surgical Research and Techniques Basic Surgical Practicals

2. Knotting techniques Viennese knotSurgical knot Department of Surgical Research and Techniques Basic Surgical Practicals

3. Department of Surgical Research and Techniques Basic Surgical Practicals Viennese Knot

4. Scalpel grips fiddle-bow holdingpencil holding Department of Surgical Research and Techniques Basic Surgical Practicals

5. Use your hand to fix the skinFiddle-bow holding! Use the belly of the blade Cut epidermis and dermis through sharply 12 34 Department of Surgical Research and Techniques Basic Surgical Practicals

6. Holding of the forceps Department of Surgical Research and Techniques Basic Surgical Practicals

7. Handling the scissors The thumb-ring finger grip ! 1 4 Department of Surgical Research and Techniques Basic Surgical Practicals

8. Handling the Mathieu needle holder in left hand in right hand Department of Surgical Research and Techniques Basic Surgical Practicals

9. The proper position of the needle in the needle holder 1/3 2/3 eye of the needle tip of the needle Department of Surgical Research and Techniques Basic Surgical Practicals

10. Insertion of the thread Department of Surgical Research and Techniques Basic Surgical Practicals

11. Simple interrupted suture 1 cm rule! the knot is on the side slow safe skin fascia muscle Department of Surgical Research and Techniques Basic Surgical Practicals

12. Department of Surgical Research and Techniques Basic Surgical Practicals

13. Department of Surgical Research and Techniques Basic Surgical Practicals

14. Department of Surgical Research and Techniques Basic Surgical Practicals

15. Knot tied using Instruments Department of Surgical Research and Techniques Basic Surgical Practicals

16. Department of Surgical Research and Techniques Basic Surgical Practicals

17. Suture removal Department of Surgical Research and Techniques Basic Surgical Practicals

18. 12 34 Department of Surgical Research and Techniques Basic Surgical Practicals

19. 1 3 4 2 Department of Surgical Research and Techniques Basic Surgical Practicals

20. wide-wide-close-close four punctures in the same vertical line 1,5 cm and 1-2 mm in the subcutaneous layer and superficial knot on the side skin slow wide and deep and superficial wound closure Department of Surgical Research and Techniques Basic Surgical Practicals

21. 12 3 4 Department of Surgical Research and Techniques Basic Surgical Practicals

22. 1 2 34 Department of Surgical Research and Techniques Basic Surgical Practicals

23. Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal

24. The thread runs intracutaneously on one side of the wound Department of Surgical Research and Techniques Basic Surgical Practicals

25. 1 cm from the wound edge 1 cm parallel to the wound edge, a double suture deep in the subcutaneous layer skin in case of higher wound tension Department of Surgical Research and Techniques Basic Surgical Practicals

26. 12 34 Department of Surgical Research and Techniques Basic Surgical Practicals

27. 12 3 Department of Surgical Research and Techniques Basic Surgical Practicals

28. Running suture line knot should be tied only at the beginning and the end fast the tension is distributed equally along the length of the suture – edema  not so safe peritoneum vessels skin GI tract Department of Surgical Research and Techniques Basic Surgical Practicals

29. 1. 2. 3.4. Department of Surgical Research and Techniques Basic Surgical Practicals

30. 1.2. 3. 4. Department of Surgical Research and Techniques Basic Surgical Practicals

31. 1. 2. 3. Suture removal Department of Surgical Research and Techniques Basic Surgical Practicals

32. knot should be tied only at the beginning and the end last knot – 3 tails reduces the skin tension results in more tissue eversion skin Department of Surgical Research and Techniques Basic Surgical Practicals Running-lock closure

33. Department of Surgical Research and Techniques Basic Surgical Practicals

34. stitches run in the subcuticular plane fast cosmetically/aesthetically fine scar knot should be tied only at the beginning and the end skin it is used in the skin with minimal wound tension Department of Surgical Research and Techniques Basic Surgical Practicals

35. 1. 2. 3. 4. Department of Surgical Research and Techniques Basic Surgical Practicals

36. Department of Surgical Research and Techniques Basic Surgical Practicals

37. Department of Surgical Research and Techniques Basic Surgical Practicals Suture removal