If the stitches are given without tetanus antitoxin, there is no effect in the vast majority of cases. If there is a confined, anaerobic environment, tetanus can be contracted and can be prevented or treated by tetanus immunoglobulin injections. In the majority of clinical cases, surgery usually requires prompt debridement to neaten the wound margins, and sutures are usually placed to the base to avoid the formation of a confined, anaerobic environment. Generally, tetanus bacillus, as an anaerobic clostridial bacillus, will not survive in the absence of a closed environment, and will not be infected with tetanus bacillus, so after careful and meticulous suturing of the wound, tetanus bacillus infection will not generally occur, except for a small number of patients due to the presence of a deep cavity, which may lead to the formation of a confined, anaerobic environment, and need to be injected with tetanus toxoid. If tetanus toxoid injection is not available or if you are allergic to tetanus toxoid and cannot have it injected, tetanus immunoglobulin can be considered to avoid infection with tetanus bacillus.