Lecture 7 - Suture Materials & Needles Flashcards

1
Q

What would be the perfect suture?

A

One that loses tensile strength at similar rate that the tissue gains strength
Is absorbed by tissue (no foreign material left)

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2
Q

What suture characteristics should be considered when choosing a suture?

A

Size, strength, knot security, handling

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3
Q

What are some factors that will affect the patient’s healing ability?

A

Age, disease, drugs, nutritional status, weight

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4
Q

What is a spatula needle?

A

Has side cutting action, used in ophthalmologic surgery

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5
Q

What is a blunt needle?

A

Has rounded blunt point, used in friable tissue such as the liver and kidney

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6
Q

What information is on the package of suture with swaged needles?

A

Size, needle, length, expiration date

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7
Q

What information is on a reel/cassette of suture?

A

Size, length, expiration date

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8
Q

What type of needle is used with suture from a reel?

A

Eyed needle

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9
Q

What material are skin staples made of?

A

316L stainless steel

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10
Q

How are skin staples placed?

A

Hold wound edges in apposition with forceps and squeeze device

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11
Q

What are absorbable staples used for?

A

SQ placement

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12
Q

What shape does a skin staple form in the skin?

A

rectangle

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13
Q

What are some advantages to using skin staples?

A
  1. Resistant to infection
  2. Decreased inflammatory response
  3. Decreased closure time
  4. Preservation of blood supply
  5. Good cosmetic results
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14
Q

What is tissue adhesive made of?

A

Cyanoacrylate

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15
Q

How is tissue adhesive applied?

A

As a liquid, placed on top of cut edges (not in between)

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16
Q

How does tissue adhesive work?

A

Polymerizes with moisture to produce a strong, flexible bond

17
Q

How fast does tissue adhesive work?

A

In less than 1 min

18
Q

Tissue adhesive sloughs with keratinized epithelium _____ days post application.

A

5-10

19
Q

What is tissue adhesive used for?

A

Small skin wounds (<5cm), declawing, tail docking, dew claw removal

20
Q

What are ligating clips used for?

A

Vessel ligation

21
Q

What size vessels are ligating clips used on?

A

<11mm

22
Q

When are ligating clips helpful?

A

When the vessel is hard to reach