Today our topic of discussion is Procedure of Suture Removal.

Procedure of Suture Removal

Procedure (Figs. 28.21A and B)

To remove the interpreted sutures, grasp the suture at the knot with a toothed forceps and pull it gently to expose the portion of the stitch under the skin
Cut the suture with a sharp scissors between the knot and the skin on one side either below the knot or apposite the knot. Then pull the thread out of one piece
The suture which is already above the skin should not be drawn under the skin. After removal of sutures, every suture should be examined for completeness. The number of suture’s shower be countered before and after removal
Mattress intercepted sutures have no threads underlying the skin. The visible part of the suture opposite the knot should be cut and the suture is removed by putting in the direction of the knot
If a continuous suture is applied, it is cut through, close at each skin orifice on one side and the cut sections are removed through the opposite side by gentle traction.

Equipment (Fig. 28.22).

Water proof thrash bag
Adjustable light
Clean gloves, if the wound is dressed.
Sterile gloves Sterile forceps
Normal saline solution
Sterile gauze pads
Antiseptic cleaning agent
Sterile curve tipped suture Povidone-iodine sponges scissors
Optional adhesive butterfly strips and compound benzoin tincture or other skin protectant.

Post-procedure Care

After the removal of any suture we showed clear the area We can give dressing also the area to prevent infection
Tell the patient to keep the area clean
Document the status of the wound, after suture removal