Continuous intracuticular suture

By Mathias Mejdahl, MD, PhD, Peter Stemann Andersen, MD, and Stig-Frederik Kølle, MD, PhD

The continuous intracuticular suture has the advantage of not creating any suture marks. It is especially useful with larger wound closures if there is not too much tension. In a trained hand it is fast and efficient and creates a good aesthetic result. A resorbable suture is usually used, but a non-absorbable suture can also be used for smaller closures where it is possible to remove the suture material. While there are many ways to initiate and end this suture, here we describe the technique with buried knots. The video presents with an iatrogenic wound due to a surgical excision. It is located on the abdomen in a horizontal direction. It has already been sutured with inverted dermal sutures to minimize wound tension and dead space.

A 4-0 monocryl suture is being used for wound closure.