HECTING ON - Jahit Luka PSIK UMY

Summary

In this instructional video, Nurhayati provides a step-by-step guide on wound stitching techniques. She explains when stitching is necessary, highlighting factors such as the wound's depth and width. The primary goals of stitching are to reduce infection, speed up healing, and improve cosmetic outcomes. Nurhayati demonstrates the use of sterile instruments, local anesthesia, and proper cleaning of the wound. She walks through the stitching process, including making a simple knot stitch for smaller wounds. Finally, she emphasizes aftercare and the importance of removing stitches after one week for optimal recovery.

Takeaways

• 😀 The importance of identifying whether a wound requires stitching before proceeding, based on its depth and width.
• 😀 The main goals of wound stitching: to reduce infection, speed up healing, and improve the cosmetic appearance of the patient.
• 😀 Wounds that are too deep or wide may take longer to heal and leave visible scars if not stitched properly.
• 😀 Proper hand hygiene is essential, including the use of clean gloves before handling wound instruments.
• 😀 A clear distinction is made between clean and sterile instruments, emphasizing the need for proper sterilization when preparing to stitch a wound.
• 😀 Local anesthetic is administered before starting the stitching process to minimize patient discomfort.
• 😀 Saline (NaCl) is used to clean the wound area before stitching to remove dirt and debris.
• 😀 The stitching process begins after the anesthetic has been administered, ensuring the patient experiences minimal pain.
• 😀 Different techniques for stitching are discussed, with a focus on simple stitch methods (simple interrupted stitch).
• 😀 After stitching, a cleaning procedure is carried out to ensure there is no remaining blood or contamination on the wound.
• 😀 The final step includes dressing the wound with sterile gauze, followed by a follow-up appointment after one week to check on the healing process and remove stitches if necessary.

Q & A

What is the primary objective of suturing a wound?

The main goals of suturing a wound are to reduce infection, speed up the healing process, and improve the cosmetic outcome for the patient, especially when the wound is deep or wide.

Is it always necessary to stitch a wound?

No, not all wounds require stitching. The need for suturing depends on factors such as the depth, width, and cleanliness of the wound.

What are some factors that must be considered before performing a wound suturing?

Before suturing a wound, it is important to assess the wound's depth, width, and cleanliness to determine if suturing is necessary.

What are the two types of instruments used in wound suturing, as mentioned in the script?

The two types of instruments mentioned are clean instruments and sterile instruments. Sterile instruments are used for suturing, while clean instruments are used for other preparations like administering anesthesia.

Why is local anesthesia necessary in wound suturing?

Local anesthesia is required to numb the area around the wound to minimize pain for the patient during the suturing process.

What is the role of NaCl (saline) in wound care?

NaCl (saline) is used to clean the wound and remove any dirt or debris before starting the suturing process, ensuring the area is as clean as possible.

How is the local anesthesia administered in the procedure?

Local anesthesia is administered through an injection at the wound site, numbing the area to reduce pain during the procedure.

What type of stitch technique is used in this procedure?

The procedure uses a simple stitch technique, also referred to as a simple interrupted suture. This technique is effective for smaller, less complex wounds.

How do you ensure the suturing instruments are sterile?

Sterility is ensured by using pre-sterilized instruments and by handling them with sterile gloves and other equipment, preventing contamination.

What happens after the wound is sutured?

After the suturing is completed, the area is cleaned again if necessary, and the wound is covered with a dressing, such as sterile gauze. The sutures are typically removed after about a week.