S"tch Descrip"on Applica"on Benefit Limita"on Image

Type
Interrupted Single loop Used for Simple and Need many www.slideshare.com
that enters the muscle, anal fast to do. knots, posing
"ssue to one sphincter, Great if only more repair
side of the rectal mucosa, need one "me, and
wound and and labial s"tch. If bulky repair
exists at the repairs as well one comes and irrita"on.
opposite point. as to ligate undone, KnoIng
Draws the torn blood others weakens the
wound vessels. usually stay. strand so they
together and If a s"tch is are weaker. If
then is "ed misplaced, it one gives way, U
with a square an be fluids can
knot. removed pool. Easy to
and redone. place too
"ghtly. May
allow for
contaminants
to enter
through a
missing s"tch.
Tensions
cannot be
readjusted
when done.

Con"nuous/ Use a single For use in Quicker to Not advised if

Running strand of vaginal place than there is a risk
suture to form mucosa repair interrupted of
a spiral of and have development
suture in the less risk of of hematoma.
issue by being pulled Risk of
inser"ng too "ght. hematoma
several s"tches Provides increased if
of the same sufficient birthing
type. hemostasis. person has
U
More varicosi"es, is
water"ght on blood
and nice thinners or
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eversion of had
the skin. hematomas
with other
birth.
Bas"ng Place anchor Perineal Repair Simple and Must be
s"tch at one Vaginal most careful not to
end of the tear, mucosa commonly make it too
pull suture Labial repair used "ght, the skin
through the Periurethral everts. Be
"ssue, leave a tear careful not to
5 cm free end. Rectal mucosa lock the s"tch
Tie first s"tch Subcutaneous
off with square layer in the
know, perineal body
U
incorpora"ng
appropriate
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number of
rows. Place
addi"onal
s"tches. Be
wary of not
locking your
s"tch by
staying out the
strand path
hen reinser"ng
your needle.

Locked Place anchor Primarily used Provides More difficult

Blanket s"tch above to secure more to do than
internal apex vaginal hemostasis basic running.
of tear. Tie of mucosa when than simple
the s"tch and the wound is running
slide knot to bleeding. s"tch
your non
dominant side.
Con"nue
s"tches as you
would running
s"tches. Bring
your needle
out inside a U
loop of the
suture strand.
To make sure www.youtube.com
that the s"tch
locks, hold the
strand of the
suture with
the
nondominant
hand and keep
the needle pint
between the
tear and the
strand
Running Usually Usually used to Low risk of Risk of pulling
MaYress con"nuous close the skin opening, too "ght and
with a of the looks like strangula"ng
previously perineum “invisible the skin, and
placed row of zipper” cause skin to
s"tches pucker

A maYress Liga"ng Helps with Must be sure

Figure Eight style s"ch bleeding hemostasis. that the
(horizontal) vessels, Helps gather distance from
that is crossed external anal and ligate each depth of
in the center. sphincter bleeding both sides od
Can be used "ssue the s"tch are
when there is a equal all
need to place around
an extra s"tch U
for hemostasis.

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