Primary Suture
Primary Suture - Related Videos
04:02
Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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2025
The integrated technique described in this protocol achieves real-time biliary mapping via indocyanine green (ICG) fluorescence, minimally invasive stone clearance under direct visualization, and secure primary duct repair (6-0 PDS), eliminating T-tube drainage.
04:03
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Cited by 1 •
2025
Here, we develop and present a T-tube and intrabiliary stent-free technique utilizing dual-lens visualization (via laparoscope and choledochoscope) combined with laparoscopic ultrasonography (LUS) to perform primary choledochal suture.
04:51
Q Suture Technique: A Suturing Technique to Reduce Gap Formation and Increase Tensile Strength in Tendon Repair
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2025
In this video, we demonstrate suturing techniques — core suture and Q suture — to repair the foot flexor tendon in an ex vivo porcine model. Q sutures enhance the strength of the core suture in tendon repair and decrease gapping at the tendon repair site.
01:22
Sutures of the Skull
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2025
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures. Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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2025
Cholecystolithiasis with common bile duct stones is a common disease; however, traditional common bile duct exploration has its own limitations. We propose a modified micro incision for laparoscopic common bile duct exploration aimed at reducing complication rates.
FAQs
Accurate approximation keeps the tissue margins aligned and in contact, allowing the wound to heal with the edges positioned together rather than separated. This alignment also helps restore the continuity of the operated or injured tissue. In practice, the quality of margin positioning is central to achieving efficient healing and limiting unnecessary scar formation.
Reducing dead space limits gaps between approximated tissue surfaces, while distributing tension prevents the closure force from being concentrated at a small area of the wound margin. Together, these functions support stable tissue contact and alignment. Their importance is practical: an appropriately planned closure can promote healing and reduce complications associated with poorly supported wound edges.
Suture selection must match the needs of the tissue and the closure. The overview identifies both the needle and suture material as essential components, and emphasizes that proper selection can promote efficient healing, limit scarring, and reduce complications. Thus, material choice is not separate from technique; it directly contributes to how well the wound margins remain approximated.
This approach is appropriate when a wound is sufficiently clean and its tissue edges can be safely approximated. Those conditions allow the clinician to restore alignment and maintain contact without forcing unsuitable margins together. In contrast, the method should not be selected solely because tissue is separated; wound cleanliness and safe approximation are key considerations before closure.
The essential workflow is to bring the separated tissue margins into the intended alignment, select an appropriate needle and suture material, and place stitches through the wound edges. The stitches then maintain contact while distributing closure tension and reducing dead space. This sequence applies to wounds or incisions that meet the conditions for safe approximation.
Primary suture is a fundamental skill in surgery, emergency medicine, and procedural care. It may be used for suitable wounds after injury or for surgical incisions when immediate edge approximation is appropriate. Successful use can support efficient healing, preserve tissue alignment, limit scarring, and reduce complications, making the technique relevant across several clinical settings.