Two Hacks to Close High-Tension Wounds

Description

In her presentation, Dr. Nira Nathan, a faculty member at Leahy Clinic and Harvard, offers practical tips for effectively closing high-tension wounds, commonly found on the scalp, back, and legs. She introduces two techniques. The first tip involves the use of two buried vertical mattress sutures placed a few millimeters apart at the center of a wound, which she demonstrates through a spine excision case. This method significantly enhances wound closure efficiency. The second tip is a technique known as the "pinch stitch," where after making the first suture throw, the assistant pinches the wound edges to maintain tension while the surgeon completes the knot with a second throw. This approach minimizes complications associated with holding the wound edges manually. Through these techniques, Dr. Nathan aims to simplify the suturing process and enhance closure outcomes in surgical practice.