|Sewing a wound closed, part 1|
Grip a suture needle securely using a needle driver instrument.
|Sewing a wound closed, part 2|
Push the needle through the skin and into the base of the wound. Then pull the suture through the first side of the wound.
|Sewing a wound closed, part 3|
Push the needle through the base of the opposite side of the wound and bring it out as before. Tie the suture to close the wound.
|Sewing a wound closed, part 4|
When the suture is properly in place, it should form a U-shape.
|Sewing a wound closed, part 5|
To tie a suture, first loop it around the needle driver twice. Next, grab the short end of the suture with the needle driver.
|Sewing a wound closed, part 6|
Start by creating the first knot of a loop. Next, make a second single loop in the opposite direction. This completes the square knot.
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.