Gliding stitch for closing wounds under tension

A surgical method of closing a wound, the method comprising the steps of:

• a) using a surgical suture thread having a first end connected to a needle holder and needle to penetrate a first side of a wound, with the needle and first thread end penetrating epidermis, dermis and upper subcutaneous tissue;
• b) looping the needle and first thread end under the wound looping a substantial portion of dermis and, if necessary to close the wound, subcutaneous tissue;
• c) directing the needle and first thread end to a second side of the wound;
• d) manipulating the first thread end to create a lower loop of an instrument tie with a second thread end, the second thread end being opposite to the first thread end and the second thread end located above the epidermis, wherein the instrument tie leaves a lower loop over the wound as the lower loop is not tightened;
• e) manipulating the first thread end to create an upper loop such that the upper loop is not tightened and loose thread rests between the upper loop and the lower loop;
• f) pulling by hand the first thread end in an upper direction causing the lower loop to glide over the second thread end until the lower loop is tied to the wound, but leaving the upper loop in a loose state;
• and
• g) pulling by hand the second thread end causing the upper loop to glide over the first thread end, placing the upper loop in a closed position adjacent to the wound and closed lower loop.