Step 1: What you will need
What you will need is as follows.
~ Sewing needle, the smaller the better.
~ Cotton appprox 30cm.
~ Probes/cleaning tools.
Once you have these lets begin...Step 2: Assessing the wound
Firstly we need to assess whether or not we are able to complete the task at hand.
By "complete" I mean as to finish in manner that is acceptable and to serve the purpose at hand.
That is to close a wound to aid in the healing process.
Nothing more nothing less.
Think bush survival or as a last means approach.
Alright so there are a few areas we need to assess.
1. Blood flow- If you are encountering excessive blood flow, which restricts your view of the site abort this technique apply a compression bandage and seek medical advice immediately.
If "Blood flow" is not excessive and the site may be viewed successfully then continue.
2. Dimensions- This becomes a major factor in regards to closing a wound. If the wound is of an excessive size or an exorbitant amount of tissue has been removed, you must seek medical advise immediately.
3. Foreign Materials- Sewing your sub-dermal skin layer shut while foreign materials are inside is a big NO NO
. If you close a piece of foreign material in the sub-dermal layer of skin (Under your layers of skin) you will be visiting hospital in the near future whether you like it or not. The human body is able to expel foreign material via abscesses and pustules in the uppermost layers of your skin eg. Zits. If you enclose foreign material under your skin then you run the risk of having it become septic almost immediately. This can leed to gang-grenge and possible amputation of affected area. Heed my warning, you do not want to travel down this path. Clean and dis-infect the wound completely before continuing.
As you may view in the second photo, I removed a small particle of foreign material prior to stitching.
So your bleeding?
Lets go!!Step 3: Sterilize your utensils
The most important step after sterilizing the site is to sterile the utensils.
They must but completely sterile prior to use or you are defeating the purpose of cleansing, stitching and bandaging he wound.
I would advise using a chemist bought sterilizing solution or a mix of hydrogen peroxide..Step 4: Cleaning
We will begin by soaking the effected area completely in a dis-infectant solution. Once the effected area is completely submerged in solution, some agitation maybe needed to exfoliate materials from the wound.
Make sure as to remove as much foreign material as possible.
If you are not able to remove the foreign material I suggest you stop here, wrap the wound in a sterile bandage and seek medical advise.
Once the effected area is cleansed free from foreign material, dry the area and move onto the next step.Step 5: Sewing the wound
Now we engage in the stitching of the wound.
Start with the closet edge of the wound to you face and sew away from yourself.
You will notice that the immediate edge of the wound would have become numb and will be able to be pierced with little to no discomfort.
Make sure you keep as close to the edge as possible without it hemoraging and releasing the stitch.
We will start to the left of the wound with a initial holding stitch.
Insert the needle downwards through to the sub-dermal layer of the skin. At this point you will need to level off the needle and venture through the wound and to the adjacent wall of the wound.
Once across the other side of the wound return the needle to the skins surface through the sub-dermal layers of skin.
We need the needle to go deep enough as to not release the skin through a tear.
Once we have reached the right hand side of the wound we need to make a diagonal path across the wound again to the next point. The simple diagram will illustrate.Step 6: Finishing off
Once you have zig zagged your way to the top of your wound make sure to tie off with a decent knot.
There you have it, one neatly repaired wound.
This method may take a lil' practice yet comes in very handy when needed.
It may also take you a while, to come to terms with being able to "Stitch Yourself Shut".
You need to remember, it is only skin and they are just going to sew it shut at the hospital anyway.
I hope you have found this informative or interesting atleast.
WoW!! I can type much better, now that my finger is sewn shut. http://www.instructables.com/id/Stich-Yourself-Shut-Sugery-at-home/?ALLSTEPS