suture - ANSWER stick or series of stitches made to secure apposition of edges of
surgical or traumatic wound
Proximate divided tissue
Enhances wound healing, makes it easier
Surgical gut/cat gut - ANSWER absorbable sterile strand from mammal collagen - for
absorbable sutures
- lasts 90 days, faster if in mucous membranes
- starts dissolving in 7 days
- cow
Vicryl suture - ANSWER synthetic slowly absorbed surgical suture material made of
copolymer of lactide and glycolide. may trap bacteria in braiding
- lasts 60 days
- full tensile strenght lasts 21-30 days
Silk suture - ANSWER braided fine black material used for incisions, wounds, cuts in skin
- not absorbable
- removed after 7 days, remove 10 days max
- do not use with synthetic material ( prosthetic limb?), body will push out
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, - used on drains
Nylon suture - ANSWER non-absorbable monofilament suture of long chain aliphatic
polymers. dyed black or green to enhance visibility. better braided
- used outside body where it can be taken out easily
prolene suture - ANSWER non-absorbable synthetic monofilament
- skin closure and general soft tissue approximation, ligation, deep layers & joints, good for
infections
- minimal tissue reactivity durable
- fragility, high plasticity/not flexible, expensive, difficult to use compared to nylon
monocryl suture - ANSWER absorbable, synthetic, poliglecaprone 25 [glycolide &
epsilon-caprolacone]
- violet & clear
- soft tissue, subcuticular dermis closure on face
- less tendency to break down
surgical suture needle - tapered - ANSWER soft tissue easily penetrated (peritoneum,
heart surgery), small hole, less tissue damage
surgical suture needle - cutting - ANSWER penetrate thicker areas, bone, wide hole
vertical mattress - ANSWER take tension off sutures
horizontal mattress - ANSWER tied in corner
subcuticular - ANSWER just underneath the skin in the epidermis. Very good for
cosmetic procedures
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