Embalming 2 sutures and plastic garments
Direction of Suturing for the Popliteal, anterior tibial, and posterior tibial arteries
Begin the suture at the inferior ( or distal ) portion of the incision and suture superiorly .
Direction of Suturing Common carotid artery
If using the parallel incision , suture from the inferior portion of the incision superiorly . Suture from the medial portion of the incision laterally if using a supraclavicular incision
Direction of Suturing Radial and ulnar arteries
Suture from the distal portion of the incision medially
Direction of Suturing Femoral artery
Suture from the inferior portion of the incision superiorly
Direction of Suturing Axillary artery
Suture from the medial area of the incision laterally ( with the arm abducted ) .
Direction of Suturing Axillary artery and Brachial artery
Suture from the medial area of the incision laterally ( with the arm abducted ) .
Direction of Suturing Autopsies ( trunk standard " Y " incision )
Use bridge sutures to align the skin into position . Begin the trunk suturing at the pubic symphysis and suture superiorly .
Capri pants
combines pants and stockings .
Interlocking ( Lock ) Suture
continues throughout the closure unlike the occasional lock down practice above . A tight , leak - proof closure is created . The disadvantage is the visible ridge on the surface of the incision . To begin , direct the nee- dle through both epithelial margins of the incision . Keep the thread tight with the hand not holding the needle . Lock the stitch by looping the thread and passing the needle through the loop . Pull the thread tight . Insert the needle on the same side of the incision each time the process is repeated until the incision is closed .
Stockings
covers legs to feet .
Capri Unionall
covers the full body , except the head , neck and hands .
Pants
covers the torso , from the lower abdomen to the upper thigh .
Coveralls
covers the trunk , from the upper thigh to the axil- lary space , or armpit .
Shirt Jacket
covers the upper torso , from the neck to the waist , including the arms .
Sleeves
covers upper arms to wrists .
Double Intradermal Suture
knotted at each end , creating greater hold- ing strength than the single intradermal . This is also a dermal layer suture . The same thread is used for two needles ; one needle is threaded at each end . One of the needles is directed through the tissues of one side of the incision ; the other nee- dle on the opposite side . Maintain parallel stitches that resem- ble the lacing pattern of a shoe . Continue the process until the incision is completely sutured . After drawing the margins tight , knot the two ends together . Relieve any tissue pucker- ing by smoothing the incision with digital pressure . To end the suture , pass both threads through the eye of one needle . Insert the needle beneath the skin at the end of the incision and pass it approximately one - half inch . Pull upward and cut the thread at the tissue surface ; excess thread disappears into the incision .
Bridge , or Individual Sutures
temporarily align tissue margins and secure them in position until permanent sutures replace them Numerous bridge sutures are placed to align the tissue flaps of the Y - incision created during autopsy .
Baseball Suture
the most commonly used suture to close incisions . It is considered the most secure and leakproof . In addition to the closure of incisions at the injection site , it is suited for closure of lengthy incisions , as in autopsy , surgery , and long - bone donation . To make this stitch , pass a suture needle and thread from beneath the incision up through the integument , and cross the needle from side to side with each stitch The resulting lacing pattern is similar to the stitching on a baseball . As each stitch is pulled tightly ,