How to close the SQ and subcuticular space in veterinary medicine

Cost

Free for Elite Members

Related Disciplines:

In this VETgirl online veterinary continuing education video, Dr. Chris Ralphs, DACVS reviews how to SQUID – otherwise known as closing the SQ and subcuticular space efficiently with a with a guaranteed buried knot! This is extremely helpful in both small animal and large animal medicine!

The goals of “SQUID” is two fold and include:

  • To close dead space and appose skin edges
  • To use the smallest knots and least amount of suture (absorbable monofilament such as monocryl or maxon) to accomplish the goal

In order to close the SQ and subcuticular space, the technique includes the following:

  • Start with a deep knot but do not cut the end! Tag it with a hemostat.
  • For right handed people, start on the left of incision (or right side for lefties).
  • Close the subQ (remember, your goal is just to appose dead space)
  • Finish with an abderdeen knot but again: do not cut the knot!
  • Now, reverse direction and perform a subcuticular pattern
  • Once you reach the beginning, drive your last bite from the subcuticular deep into the subQ
  • Tie to your tagged starting suture

Not a VETgirl ELITE member? Get your learning on with the #1 veterinary CE resource – clinically relevant, practical, and accessible 24/7 on your own time! Don’t miss out – click HERE to check out your options, including our new  14-day, no-commitment ELITE Trial.

Only VETgirl members can leave comments. Sign In or Join VETgirl now!