SA Wounds & Suture Knowledge (14)

Question 1

What should you never say in medical records?

Answer 1

don’t say owner “claims”

Question 2

Why did Ginger’s intestines herniate out of her body when she vomited?

Answer 2

increase in intrabdominal pressure

Question 3

What layers do you close for Ginger’s surgery (basically like a spay incision)

Answer 3

external rectus sheath
subcutaneous
intradermal
skin

Question 4

List what suture, needle type, and suture pattern for external rectus sheath

Answer 4

absorbable monofilament, reverse cutting, simple interrupted/continuous

Question 5

List what suture, needle type, and suture pattern for subcutaneous

Answer 5

3 or 4-0 monofilament absorbable, taper, simple continuous

Question 6

List what suture, needle type, and suture pattern for intradermal

Answer 6

2-0 absorbable monofilament, reverse cutting, simple continuous

Question 7

List what suture, needle type, and suture pattern for skin

Answer 7

nonabsorbable monofilament, reverse cutting, cruciate/simple interrupted/ect

Question 8

What are the considerations for suture selection?

Answer 8

Question 9

What are the layers to close in an abdominal wall closure?

Answer 9

• linea alba
• subcutaneous
• subcuticular
• skin

Question 10

How many knots in the external rectus sheath?

Answer 10

6 throws (3 square knots at each end of the suture line)

Question 11

Why do we use a simple continuous in the subcutaneous and external rectus sheath?

Answer 11

faster and less suture material

DOES NOT increase the risk of dehiscence

Question 12

What could you replace the 3 square knots with at the end of your simple continuous suture pattern?

Answer 12

Aberdeen knot

Question 13

T/F: If you’re off the midline, you use the external rectus sheath

Answer 13

TRUE

Question 14

What are the Dos when closing?

Answer 14

Question 15

What are the Donts when closing?

Answer 15