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Basic Surgical Technique, Knots and Sutures

Patient examination

Authors: Christoffer Bing Madsen med. student and Magnus Balslev Avnstorp MD.

Before suturing a laceration /a wound it is crucial to perform a neurovascular assessment. Always check the following:

  • Pulse/capillary response distal to the laceration.
  • Sensation distal to the laceration.
  • Motor function distal to the laceration
  • Other lacerations or traumas
  • Patient status

The laceration should must be examinated:

  • Sign of infection? (Pus or greyish fluid draining from the laceration, yellow pimple/scab formed, swelling, increased redness and pain)
  • Any foreign bodies must be removed
  • In many cases the laceration need to be cleaned before suturing