Clin Skills 8 Suturing Flashcards
Absorbable or non, structure, use:
Silk
Nonabosrbable
Multifilament
Easy to handle
Absorbable or non, structure, use:
Nylon
Nonabsorbable
Monofilament
SKIN CLOSURES
Absorbable or non, structure, use:
Prolene
Nonabsorbable
Monofilament
High memory, subcutaneous pull
Absorbable or non, structure, use:
Dacron
Nonabsorbable
Multifilament
Good knot security
Absorbable or non, structure, use
Gut
Absorbable
Natural
Mucosal closure rarely
Absorbable or non, structure, use:
Chromic gut
Absorbable
Natural
Mucosa, perineal closures
Absorbable or non, structure, use:
Dexon
Absorbable
Multifilament
SUBCUTANEOUS closures
Absorbable or non, structure, use:
Vicryl
Absorbable
Multifilament
MUCOSAL closures
Absorbable or non, structure, use:
Maxon
Absorbable
Monofilament
SUBCUTANEOUS closures
Which closure?
shallow wounds without edge tension
Simple interrupted
which closure?
useful in maximizing wound eversion, reducing dead space, and minimizing tension across the wound
Vertical mattress
Better distribution of wound tension
which closure? – good for fragile skin, calloused skin (palms & soles), & skin under high tension. Good for hemostasis.
Horizontal mattress
which closure?
good to close dead space and decrease wound tension
Percutaneous (deep) closure
which closure?
good for cosmetic results
Subcuticular
Allow suture to remain for a longer period of time without development of crosshatch scarring