The Quilled Suture (fig. 417) is employed in the adjustment of deep wounds, the surfaces of which it maintains in apposition, while the edges are brought together by additional sutures of wire, silk,, or other material.

The quilled suture consists of a series of interrupted sutures tied on either side of the wound to a quill, stout pencil, or some other and stronger cylindrical substance, according to the amount of support the divided parts may require.

Quilled Suture.

Fig. 417. - Quilled Suture.

The introduction of the quilled suture is best effected by means of a curved needle with an eye towards the point (fig. 418). This, on being armed with a double thread of the material employed, is passed through the lips of the wound from side to side. The looped end is then seized with the left hand and retained on one side of the wound, while the needle is withdrawn, leaving the double thread projecting from the other side.

This having been repeated as often as necessary, the loops are twisted, and the cylindrical material above referred to, after being notched here and there to receive the thread, is passed through them. A second piece of the same substance is tied to the opposite side of the wound by the free ends of the projecting threads.