Which statement best describes the role of tissue capture in needle passage during suturing?

Which statement best describes the role of tissue capture in needle passage during suturing?

• A. Capturing tissue with an appropriate bite size and stable edge reduces tearing.
• B. Capturing tissue with a very large bite every time.
• C. Tension is irrelevant to needle passage.
• D. Tissue capture should be avoided.

Answer: (B)

Tissue capture sets the stage for how the needle interacts with the tissue during suturing. The most effective capture uses a bite that matches the tissue thickness and grabs the tissue at a stable edge. This gives the needle a clean path through tissue that will hold the suture, so the force of tightening is distributed across a solid, well-anchored area rather than tearing at a fragile margin.

If the bite is too large, the tissue can be crushed or torn, blood flow can be compromised, and the needle path becomes less controlled. That kind of trauma makes the suture less secure and increases the risk of tissue damage and dehiscence. Conversely, a bite that is too small may not grasp enough tissue to hold the stitch, leading to an insecure closure. The goal is a balanced capture that provides stable, evenly distributed tension as the needle passes and the knot is tied.

Tension during needle passage matters as well: with good tissue capture, you can apply appropriate tension to approximate edges without causing tearing, maintaining tissue viability and a strong wound closure.