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Suturing the Biopsy site

When the specimen has been obtained the wound may be sutured
Suture should be placed perpendicular to the long axis of the punch defect
Begin by placing the needle through the edge of the wound
When the needle emerges from the skin, grasp the point with your palm
down and direct its blunt end toward your index finger
Circle the suture once in the opposite direction,and cinch a square knot
For an area measuring less than 3mm in diameter = single stitch
For 4 to 5 mm = Two interrupted stitches
Place one more stitch for every 1 mm increase in the size

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