This manual has been prepared for the medical professional who would like to learn more about the practice of surgery-

the dynamics of tissue healing, the principles of wound closure, and the materials available to today's practitioners.

Most important, it touches upon some of the critical decisions which must be made on a daily basis to help ensure proper wound closure.

The word "suture" describes any strand of material used to ligate (tie) blood vessels or approximate (bring close together) tissues. As far back as 2,000 B.C., written references have been found describing the use of strings and animal sinews for suturing. Through the centuries, a wide variety of materials––silk, linen, cotton, horsehair, animal tendons and intestines, and wire made of precious metals––have been used in operative procedures. Some of these are still in use today.

The evolution of suturing material has brought us to a point of refinement that includes sutures designed for specific surgical procedures. They not only eliminate some of the difficulties the surgeon may have previously encountered during closure but decrease the potential for infection post-operative.

Successful use of suture materials depends upon the cooperation of the suture manufacturer and the surgical team. The manufacturer must have a thorough knowledge of surgical procedures, anticipate the surgical team's needs, and produce suture materials that meet stringent criteria.

Included is a comprehensive collection of movies detailing correct application of stitches discussed.

Although this manual is geared toward the medical professional, it's application in the field of survival is invaluable.