angelz wrote:I did not need practice, as I needed sutures to sew up one of my dogs wound due to a dog fight by accident. I had no time to think But here are a few pointers:
to do suturing
You will need
1. suture kit that has needles, the the thread, the suture scissors
You'll probably be better off "building your own"... you need needle holders for one thing (and no - needle holders are NOT the same as hemostats), and the world's supply of prepackaged suture with atraumatic needles will eventually run out, so you'll need separate surgical needles (the old-fashioned kind) and bulk suture like a 000 nylon fishline for the long term, plus a means to sterilize the set...
2. alcohol
You'll be better off with Betadine.
3. peroxide
The idea of wound cleansing it to "flush out" the wound. Two liters of boiled and cooled water will work better.
4. gauze pads, bandaids, first aid tape, and ace bandage for really big wounds to cover after you gauze it
Remember, a dressing goes against the wound, a bandage holds the dressing in place. Use Telfa (with Bacitracin) as a dressing, gauze as a bandage.
5. a steady HAND LOL
6. gloves
Or clean hands if surgical gloves aren't available
7. cotton balls for the alcohol and peroxide to clean the wounds
You're probably better off using sterile gauze 2x2s or 4x4s. If cotton fibers get into the wound you'll have a problem with healing.
After you have the above it will come natural as it did to me in a natural situation that I had no time to think about because my dog had a hole in her chest and I had no time to think about what i was going to do. All i did was get the suture kit out, which i have handy in case anything like that happens and of course when johnny split his finger open. Ive done the suturing prob 2 times before I sutured johnnys finger up. Im not a pro, but He does not have a big scar as if he were to go to a hospital to have it done. Im really surprised it didnt scar as bad as I thought, and IT healed up NICELY..
Actually, I seriously doubt that suturing comes naturally to anyone but a board-certified surgeon. Here's the book that the doctors in a downtown Chicago hospital gave me to learn with some 50+ years ago - now as an updated and free download:
http://www.pilonidal.org/pdfs/wound_closure.pdf .
The real trick in suturing, which comes from experience, is to know when to suture and when not to. For most people, an assortment of Steri-Strips is a much better alternative.
these thoughts of mine here arent to make you look bad, just my opinions, and the post before this is a great post on medical stuff. But like i said i didnt need practice to know common sense on suturing. Its really basic instinct, some have it and some dont n need the practice, so your post is something definitely that a person with no knowledge should try to do first.
But if you want to practice, order a fresh ham (not smoked) from your local butcher. Make an incision about 4" long in the skin, then suture it closed. Repeat several times until you're both competent and confident. Then remove the sutures and bake the ham and serve with red cabbage and sweet potatoes.