b. Principles of Suture Removal. Follow these principles:
Use sterile forceps or hemostats and proper suture scissors (sharp point
Cut the suture at skin level.
Do not pull a contaminated suture through the suture route.
Pull the suture up and towards the wound at a 45-degree angle.
Pull the suture gently and smoothly.
Support the suture at the suture exit point.
Figure 2-14. Cutting a suture.
Skill and proficiency in the procedure of suturing is developed only through
practice and experience. One of the most fundamental and marvelous defensive
properties of living organisms is the power to heal wounds. Apposition (the act of
placing together) and maintenance of the edge of a cleanly incised wound almost
always results in prompt healing.