Presutures for skin stretching: Step 1 (large photo)

Presutures for skin stretching: Step 1 (large photo)

source-image
May 29, 2009
By dvm360.com staff

After administering a tranquilizer or neuroleptanalgesic, prepare the skin around the lesion for aseptic surgery. Then inject a local long-acting analgesic agent (e.g. bupivacaine) around the lesion.

To place the sutures in the skin on either side of the lesion or defect, use 2-0 or 3-0 nonabsorbable synthetic monofilament suture material (nylon or polypropylene) with a swaged cutting needle. Another option is to use suture material one or two sizes larger than what will be used to close the wound. The larger diameter may distribute tension better and may be less likely to cut into the tissues. However, the larger the diameter of nylon or polypropylene, the greater the potential for difficulties with knot security.

Using a Lembert suture, place the first bite in the skin and out of the skin on the same side of the wound.

Step by Step Article
Video of the procedure

ADVERTISEMENT

Photo galleries

Gallery: Nine finalists for Practice Manager of the Year

DVM360 MAGAZINE - Aug 26, 2016

By Brendan Howard, Business Channel Director

It's CVC Kansas City time, and we've got all the details on the finalists for the dvm360/VHMA Practice Manager of the Year contest.

Cat behaviors, deciphered

FIRSTLINE - Aug 11, 2016

By Portia Stewart, Editor, Team Channel Director

A completely unscientific look at catitudes from a casual observer and cat fanciest.

10 reasons to love veterinary medicine

DVM360 MAGAZINE - Aug 01, 2016

By dvm360.com staff

Feeling cynical? Find out why you've got one of the best jobs in the world.