Rationale and key points

Skin sutures are commonly used to bring together the edges of a wound, assisting it to heal. Depending on the location of the wound, the sutures used may be absorbable or non-absorbable. Non-absorbable sutures will need to be removed once the wound has sufficiently healed. Timely, safe and effective removal of non-absorbable sutures is crucial to avoid complications and ensure optimal cosmetic results. Nurses undertaking suture removal must have the knowledge and skills to undertake the procedure safely and effectively and work within the limits of their competence.

• Before suture removal, the wound must be checked for signs of infection and indications of dehiscence.

• Removing sutures at the recommended time assists in preventing new skin growth from covering the sutures and in reducing scarring.

• Aseptic non-touch technique (ANTT) is recommended for suture removal, but local policy should always be followed.

Reflective activity

‘How to’ articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of:

• How this article might improve your practice when removing non-absorbable sutures.

• How you could use this information to educate nursing students or your colleagues about the procedure for removing non-absorbable sutures.