CUSHING AND CONNELL SUTURE TECHNIQUES
Suture technique to be applied in surgical operations varies according to the wound type and area. The Cushing and Connell suture technique is often used to close the incisions in hollow organs such as the stomach, urinary bladder, and uterus. In the Cushing suture technique, the suture penetrates into the submucosa without penetrating the organ lumen. The suture runs from both sides of the incision, parallel to each other. The Connell suture technique is almost identical to the Cushing suture technique. These two suture techniques are separated according to the tissue they penetrate during suture passage. While the Cushing suture technique is also passed through the submucosa, Connell suture technique is used to pass through the lumen. While applying these techniques, the following steps are followed.
- A directionally opposed suture passage is made parallel to the incision.
- Suture passage is made from the other side of the incision in the same direction as the incision, parallel to the first passage.
- The beginning of the suture line is fixed with a knot.
- Starting from the back of the knot, a suture passage is made in the direction of the incision.
- A passage is made from the other side of the incision parallel to the first pass and in the same direction. When the suture is pulled, the tissue becomes inverted and the knot is buried under the skin.
- A suture passage is made in the direction of the incision.
- A passage is made from the other side of the incision parallel to the first pass and in the same direction.
- Steps 6 and 7 are repeated throughout the incision.
- After the incision line is crossed, End of suture line is fixed by repeating first three steps.
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