FUNDAMENTAL SURGERY

Basic Suture Patterns

Dr. Satyajeet SinghM.V. Sc.

Department of Veterinary Surgery and RadiologyDUVASU, Mathura

Classification of suture patterns

•Interrupted/Continuous•Appositional/Inverting/Everting•Simple/Tension

Appositional suture patterns

Simple interrupted s.

enterexit

SIMPLE CONTINUOUS

Appositional suture patterns

Appositional suture patterns Continuous lock (Ford interlocking or lock stitch)

Appositional suture patterns

Interrupted cruciate (Cross or X- mattress)

1

2

3

4

Tension sutures

Interrupted horizontal mattress s.

With stents Without stents

Tension suturesContinuous horizontal mattress

Tension sutures Interrupted vertical mattress s.

Tension suturesQuilled

Tension sutures

1

2

34

12 3

4

Far-far-near-near

Far-near-near-far

Appositional suture patternsInterrupted intradermal (subcuticular) (buried knot)

epidermisdermissubcutis

12

34

Appositional suture patterns

Continuous intradermal (subcuticular)

Suture Patterns Used Suture Patterns Used for Hollow Organsfor Hollow Organs

Inverting suture patterns

Lembert (interrupted or continuous)

interrupted continuous

Inverting suture pattern Interrupted inverting mattress

Inverting suture patterns Halsted (Interrupted Quilt)

12

3

Inverting suture patterns Cushing and Connel

Cushing

Connel

Inverting suture patterns Parker-Kerr

Inverting suture patternPurse string

Purse string

Prolapsed rectum

Bladder

Suture for intestine

A- Simple interruptedB- Crushing Suture

Simple interrupted suture (enterectomy)

Appositional suture patterns Gambee suture

serosamuscularissubmucosamucosa

Tension sutures Sliding mattress (Mayo mattress) (vest-over-pants)

Tension suturesStent suture

Tendon Suture Pattern

Tendon suturingLocking loop (modified Kessler)