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Step 5: Sewing the wound

Now we engage in the stitching of the wound.

Start with the closet edge of the wound to you face and sew away from yourself.

You will notice that the immediate edge of the wound would have become numb and will be able to be pierced with little to no discomfort.

Make sure you keep as close to the edge as possible without it hemoraging and releasing the stitch.


We will start to the left of the wound with a initial holding stitch.

Insert the needle downwards through to the sub-dermal layer of the skin. At this point you will need to level off the needle and venture through the wound and to the adjacent wall of the wound.
Once across the other side of the wound return the needle to the skins surface through the sub-dermal layers of skin.

We need the needle to go deep enough as to not release the skin through a tear.



Once we have reached the right hand side of the wound we need to make a diagonal path across the wound again to the next point. The simple diagram will illustrate.
<p>i've done something similar, but with staples instead of thread.<br>i was working with my buddies building a shed, and one of my friends cut himself real bad on accident with a box cutter.<br>we had to control the bleeding somehow, long enough to get him to the ER... so we used a staple gun to staple his cut closed, and it worked long enough to drive him to the hospital.<br>the ER doctor was both horrified and amused.</p>
if in an area with no burnable alcohols, is it possible to boil or burn the object with some source of fire to sterilize it?<br>
Threads have to sterile too. But if its a wound that can be easily closed by simple suture, its not urgent or threatening. simply disinfect, wrap, stabilise and go to the nearest health station will do!!
Hi-- can u please help? Saw you just posted this 6 months ago &amp; am HOPING you can Help! I just stitched up an arm gash (one of 7). I'm scared I went too deep while stitching! Any idea how to reach the &quot;poster?&quot; Or maybe You know? CANNOT go to ER! TY in Advance-- BTW-- saw the &quot;meat&quot; (ICK!) inside the gash I sewed up but how to know if I want to deeply with the needle/thread?
I ran into site after breaking up a donkey versus dogs fight. I was seeing blood and thinking I might need to sew him up myself rather than load him up for a ride to the vet. I read the instructions and thought to myself, self, you been on both ends of a needle enough times to do this. I went out to examine the wound a little more carefully and considering the poor guy came within a hair of being gelded, I decided this particular incident is beyond my pay grade. <br> <br>Ironically, as I sit here, however, I have just walked out a hospital with a my thoat slit from ear to ear to faciliatate the removal of a monstrous thyroid gland. No stitiches to take out; all superglued, I guess. <br> <br>Just wish I could get my hands on some Novocaine to inject before I take needle to any future animal husbandry needs. The dogs I can probably hold still; not sure about the equines, though. And strategically placed hooves can really hurt.
the local injection can easily kill if injected wrongly intravenously or in wrong doses; your thyroid had absorpable stitches inside, glue is for specific, superficial wounds. Please don't attempt such a procedure, it will cause the animal undue harm
You know, after the wound is cleaned and ready to stitch, you could sprinkle sugar into it. The sugar helps to regenerate tissue, then maybe use super glu instead of stitches, you wouldn't want the tissue growing into the stitches. Just an option. I had a staph infection that I needed cored. The hole in my leg was deep. After the couple of packing rounds Doc told me to fill the hole with sugar and top with neosporin and a bandage. Wow! Hole was filled and gone in a day!
The core and infection is precisely what such suturing would introduce actually :(<br>sugar is not a common practice, but its definitely a double edged sword - all cells, your and the staph bac alike love sugar. At home without proper wound debridement and disinfection this will just escalate any infection. A simple wound can turn into one that needs to br cored then or worse, please don't attempt that!
I'm just saying that sewing your self up can lead to some pretty bad scaring... In living proof??
Probably in your cases the stitch didn't actually take hold enough, the wound healed just as it would normally without stitching, which is unlucky, but you missed all the serious complications too :P It's actually a very lucky occurance, but really don't risk you limb over that again lolll if possible
Please don't suture yourself up like that, it's putting a lot of readers at serious risk of sepsis and appendage loss really... the ugly scar is the least of your worries really. The importance of wound management goes like this: disinfection and cleaning &gt; function and tissue saving &gt; wound closure and cosmesis.<br>This method actually introduces more trauma and infection to a simple clean wound. You can't disinfect threads etc at home right? The suturing is not correct, but the main problem is not about cosmesis, it's that wrong suturing (wrong tension, depth, interval) easily damages bloodflow, greatly increasing ischemia and gangrene risks.<br>Some comments mentioned local anasthesia injection too, which is also dangerous intravenous injection (as opposed to the intended intramuscular) can easily kill by overdose, appendages like fingers have other risks too.<br>Superglue is not gaurenteed to be medical grade, some patients come with glue all mashed in and it's very hard for us to help them.<br>PLEASE IF YOU R INJURED PLEASE, JUST CLEAN WOUND UNDER LOADS OF RUNNING CLEAN WATER, THEN APPLY DISINFECTANT. WRAP AND PRESS ON WOUND, INCLUDING ANY FOREIGN OBJECT INSIDE, AND GO TO THE EMERGENCY DEPT. SELF-INFLICTED WOUNDS ARE WELCOME, NO JUDGEMENT NO STRINGS ATTACHED. WITH PRIVACY AND AUTONOMY.<br>That will be a very good job already :) So please. It's not worth going into organ failure and spending days on foley catheters, or loosing a finger over this. The ED doctors will be glad to help you, we don't care how you got that wound or it being self inflicted or what not, we just want to help ok?? But we need something to work with, and stitching over stitched skin sucks ==<br>....and the complication rate for normal suture wounds are less than 5% (1% in reality in most places), so complications are not that rare, you don't wanna increase the odds even more lol.
I can't go to the hospital for this... And yes I did it to myself.... But should I sew it myself? Or?
I did the same thing and I sewed it myself.
You really should avoid this procedure if at all possible. If those cuts are on part of your body that doesn't move too much or stretch the skin, then try steri strips. You really should get it checked out professionally. You can go to the hospital for this. Don't worry.
that didnt need stitches just some super glue and a bandaid
super glue?!?! 0.o y super glue?
super glue is used on certain cuts all the time in a doctor's office. but at home, super glue is great for papercuts.
or for a nail that is ripped really deep. works good to seal it till nail grows long enough to cut off
I&nbsp;do believe that super glue was developed for soldiers in WWII&nbsp;as a replacement for stitches.
not quite. It was made for gun sights, but found to be too sticky
Cyanoacrylate (superglue/crazyglue etc) has been found to be better than stitches in terms of incidence of infection, time consumption, and cosmetic result. <br> <br>Source: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=1986;volume=32;issue=2;spage=97;epage=100;aulast=Dalvi
Be sure to let the glue <strong>dry first </strong>or the bandaid will be embedded in the wound.<br />
<p>Super glue is more specifically known as cyanoacrylate (that's the technical word for the stuff), which you <strong>can</strong> use on skin, and doctors have for years. Yes, it is mildly toxic, but not enough to worry about damage to you unless you have allergies or other known reactions to the product. <br><br>Believe it or not, there are sites that walk through on <strong>how to fix a cracked tooth</strong> using cynoacrylate. They recommend brands with lower toxicity, of course.<br><br>Point is, it's common and stitches are for more brutal stuff.</p>
<p>4 to 5 fosters oil cans should do it. (;</p>
please what type of anestisia we use ???
<p>tequila or vodka will do just fine</p>
<p>Toughness</p>
<p>Thanks much! (:</p>
<p>After reading the comments about the super glue, I was impressed. I'd never thought about the glue, but I've had a c-section and there were internal stitches, but my top layer of skin was actually glued. I had completely forgotten.</p>
<p>nice! by the way what is the kind of thread is better for that?</p>
Super glue will work best if you take a thread or fishing line or hair for that matter and drag it through the super glue and place it across the wound. No need to squirt that crap directly at or in the wound, thats just a day, besides cutting yourself.
I did some googeling after reading your comment. Here's a glue product made for suturing.
I was thinking about this when you come up with this ible'.
How to I attach the thread to the needle?? Do I double it and tie the ends like normal?
Is this BMX injury to be considered a good reason for stitches?
i've had worse
yes that is serious sew it up
how about a doctor?
did that cut really need stitches? I have had cut that at least from the photos you have taken are much worse and deeper and I just clean them off, put a butterfly bandage on them and don't move the part of my hand they are on for a week.
You should not use disinfectant, it is harmful to living tissue. Instead us antiseptic it only kills pathogens.
santary counditins requried a clean blade and also strong fibers like spider webs
Might I suggest &quot;curving&quot; the needle (or buying a curved one, for the sake of ease?), and having the thread be wet, to cut down on friction, and make this process easier, and faster.<br><br>The curved needle makes the zig-zagging almost nonexistent, since when the needle is all the way through it's near the other side. This causes less pushing/pulling and also allows you to get deeper into the skin much easier.
I too have sliced a finger. It didn't hurt for some reason, but about a minute after, I felt sick. Like, I bent over in preparation for the heave. After a few minutes, I finally felt pain, but it wasn't as much as I had expected. I didn't sew it up (didn't think I needed to), but the wound didn't heal for like a week. Made it impossible to write.
Yeah, I get that too. Wonder why one gets nauseous.
It`s from the bloodloss makes you blood pressure drop and puts you in shock
Isn't adrenaline wonderful? I once cut my finger tip off. Didn't feel a thing till I got myself to hospital. As soon as I relaxed and thought, "I'm here" man it hurt!! Until they gave me a nerve block. Arn't nerve blocks wonderful!! Yes, I needed to respond to some comments so I stitched it shut. I'm so dedicated. LoL
Ahh nerve Blocks and Morphine..<br /> <br /> <br />

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