When removing sutures, which method is correct?

• A. Cut under the knot as close to the skin as possible and pull the stitch out drawing wound edges together
• B. Cut over the knot as far away from the skin as possible and pull the stitch out drawing wound edges together
• C. Cut over the knot and pull the stitch out drawing wound edges apart
• D. Cut under the knot and pull the stitch out drawing wound edges apart

Answer: (A)

The technique minimizes tissue trauma while keeping the wound edges approximated as the suture is removed. Cut the suture under the knot and as close to the skin as possible, then gently pull the stitch out so the knot doesn’t drag across the wound and the tissue is released smoothly. This approach reduces traction on the wound edges, helping prevent separation or tearing. Cutting over the knot or cutting far from the skin increases the chance of pulling on the knot or dragging more tissue, which can traumatize the wound and pull edges apart. After removal, check the area for proper closure and cleanliness.