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Fishing-gut and silver wire, as well as the needles, should be boiled along with the instruments. Horse-hair and fishing-gut may be sterilised by prolonged immersion in 1 in 20 carbolic, or in the iodine solutions employed to sterilise catgut.
When there is any difficulty in bringing the edges of the wound into apposition, a few interrupted relaxation stitches may be introduced wide of the margins, to take the strain off the coaptation stitches. Stout silk, fishing-gut, or silver wire may be employed for this purpose. When the tension is extreme, Lister's button suture may be employed.
In extensive and deep wounds, to ensure more complete closure and to prevent subsequent stretching of the scar, it is advisable to unite the different structures muscles, fasciæ, and subcutaneous tissue by separate series of buried sutures of catgut or other absorbable material. For the approximation of the skin edges, stitches of horse-hair, fishing-gut, or fine silk are the most appropriate.
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