Operative surgery . Fig. 144.—Quilled suture. Fig. suture. THE TREATMENT OF OPERATION-WOUNDS. 103 interrupted figure-of-eight form, confining it in position, and at the sametime opposing the divided surfaces of the wound. The yarn should hechanged repeatedly, so as to prevent undue soiling. If the yarn he drawntoo tight, rapid ulceration around the pins is liahle to occur, and result inpinhole disfigurement unless the traction he promptly released. The twistedsuture (Fig. 14C) is of great use in closing deep wounds, in which case. Fig. 146.—Twisted suture. needles of large size, an
Operative surgery . Fig. 144.—Quilled suture. Fig. suture. THE TREATMENT OF OPERATION-WOUNDS. 103 interrupted figure-of-eight form, confining it in position, and at the sametime opposing the divided surfaces of the wound. The yarn should hechanged repeatedly, so as to prevent undue soiling. If the yarn he drawntoo tight, rapid ulceration around the pins is liahle to occur, and result inpinhole disfigurement unless the traction he promptly released. The twistedsuture (Fig. 14C) is of great use in closing deep wounds, in which case. Fig. 146.—Twisted suture. needles of large size, and even skewers, may he thrust through the ordinary pin or needle can he employed, although those that are spe-cially constructed for the purpose are preferable (Fig. l-tT). If spear-pointed, they may be pushed through the tissues unaided, or Posts or Buckspin carrier (page 76) can be used as a guide for their introduction. Pinswith adjustal)le sharp points are frequently used. At all events, the pointsshould be removed as near to their exit as is consistent with the security ofthe suture; the intervening spaces are closed with superficial interruptedsutures when necessary. The Button Suture (Fig. 148).—The button, like the quilled suture, isemplo3^ed to approximate the deep portions of a wound, thereby relaxing itsborders and thus permitting them to be united with simple sutures which,are not exposed to traction. The Buried Suture.—Buried sutures are introduced into wounds cutshort, and closed in by superficial suture
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