DOSSILED SUTURE. 



153 



the first in crossing the wounds obhquely, and this is repeated 

 until the lower end of the edge, oj^posite to that at which the 

 suture was begvm, is reached, when the thread is stopped by a 

 knot. Before securing the last stitch, care must be taken to re- 

 move any j)ossible wrinkles between the stitches. 



5IS ^ 



Fig. 190.— Glover's Suture. 



Fig. 191.— Dossiled Suture. 



4. Dossiled /Suture (Fig. 191). — This is a variety of interrupted 

 sutm*e, in which the thread is doubled, and at one end carries a 

 little ball or dossil of lint or oakum. Passed through one edge 

 of the wound from without inward, it is brought outside of the 

 wound, and cut the necessary length. Another similar thread is 

 passed through the other border in a similar way, and, when cut, 

 both threads are tied together in the center of the wound. 



This suture is often used for the purpose of holding in place 

 the substances (wadding, oakum, etc.) that may be placed in the 

 wound, or to prevent the retui-n of a hemorrhage. It is a strong- 

 adjuvant of other hemostatic measures. 



5. Quilled /Suture (Fig. 192). — This is formed by a series of in- 

 terrupted stitches, supported on each side by a short piece of quill 

 or wood, or metallic pin, which must be longer than the great axis 



h' 



J K 



-Quilled Suture. 



Fig. 193.— Suture with Adhesive Bandage. 



