The presentation is beginning with the definition and purpose of subcutaneous sutures, continuing through step-by-step technical guidance, and culminating in comparative overviews of skin suturing and stapling methods. Each section is clearly titled, with corresponding summary slides that reinforce the main learning objectives. The first part accurately defines the subcutaneous (subcuticular or subdermal) suture as a closure technique placed in the fatty tissue beneath the dermis to eliminate dead space and reduce surface tension.
The description of materials (absorbable sutures, atraumatic needle) and technique (horizontal passage, deep buried knots, spacing 1–2 cm) is precise and clinically relevant. This section could be further enhanced by a cross-sectional illustration showing the needle trajectory and tissue layers. The following part, dedicated to skin sutures, outlines the main goals of skin closure — protection, proper edge approximation, and infection prevention. The author clearly differentiates the most common patterns: simple interrupted, continuous running, mattress (horizontal and vertical), intradermal, and stapled closure. Each method is briefly characterized by its advantages, disadvantages, and field of application. The inclusion of universal principles such as “approximate, don’t strangulate,” edge eversion, equal bite depth, asepsis, and regular spacing demonstrates solid understanding of surgical fundamentals.
4-D assessment:
 Textbooks and manuals |
 Educational websites and atlases |
 Digital video |
 Presentations and animations |
 Casuistics in images |
 E-learning courses (LMS) |
 Reviewed Information about review processGuarantee
prof. MUDr. Jozef Radoňak, CSc. Reviewerdoc. MUDr. Jozef Firment, PhD. Reviewerprof. MUDr. Radek Kaiser, Ph.D. |
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Student – student of bachelor or master degree
Graduate – graduate of bachelor or master degree PhD. Graduate – Ph.D. student, Ph.D. graduate, researcher, ...
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Courses
- Surgery 5 (Neurosurgery, Orthopedics) [ChK/CH-V5/09]
- Surgery 4 (Neurosurgery, Orthopedics) [ChK/S-GM4/18]
Contribution content is subject to licence Creative Commons Uveďte autora-Neužívejte dílo komerčně-Nezasahujte do díla Attribution 3.0 Czech Republic
Keywords: sutures, neurosurgery
citation: Michal Orlický: Types of Sutures used in Neurosurgery, Part 1 – interrupted sutures. Multimedia support in the education of clinical and health care disciplines :: Portal of Pavol Jozef Šafárik University in Košice Faculty of Medicine [online] , [cit. 17. 11. 2025]. Available from WWW: https://portal.lf.upjs.sk/articles.php?aid=661. ISSN 1337-7000.