DOSSILED SUTURE. 



153 



tte first m crossing the wounds obUquely, and this is repeated 

 nntn the lower end of the edge, opposite to that at which the 

 suture was beg-un, is reached, when the thread is stopped by a 

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

 move any possible wrinkles between the stitches. 



^m XK. Mit. 

 .<fc ms "^ 



Fio. 190.— Glover's Suture. 



Fig. 191.— Dossiled Suture. 



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

 suture, in which the thread is doubled, and at one end carries a 

 Httle ball or dossil of lint or oakum. Passed through one edo-e 

 of the wound from vnthout 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 return 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 qiuU 

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



• 1& 



Fig. 198 -Quilled Suture. 



Fig. 193.— Suture with AdheslTe Bandage. 



