Sutures and suturing techniques in skin closure

Absorbable sutures [4][5][6] [Table 1] are placed into subcutaneous tissue to eliminate dead space and into the dermis to minimize tension during wound healing.[4] Absorbable sutures must be placed well into dermis and subcutaneous tissue to facilitate this subsequent absorption by inflammation, enzymatic degradation or hydrolysis.If absorbable sutures are placed too superficially, they may persist for a prolonged period of time and thus possess an increased tendency to be transepidermally eliminated from the wound.This can compromise the appearance of the scar.Absorbable sutures are not intended to be used too close to the skin surface.This slows absorption and increases the likelihood of epithelization of the suture tunnels.This epithelization can result in permanent suture tracts and cyst formation. Surgical gutThese sutures are derived from naturally occurring