Suture Choice Flashcards
Catgut, Chromic Gut, Ethicon type of filament?
absorbable multifilament
Catgut, Chromic Gut, Ethicon use?
Sub-Q, when you want inflammation
Use in rapidly healing tissues
Catgut, Chromic Gut, Ethicon contradictions for use?
tissues with high levels of proteolytic enzymes
Catgut, Chromic Gut, Ethicon disadvantages?
poor knot security
Vicryl type of filament?
absorbable braided multifilament
Vicryl use?
contaminated wounds, linea alba, GI tract, urinary tract
Dexon type of filament?
absorbable braided multifilament
Dexon use?
intestinal anatomosis, C-section, hernia repair
Dexon contradictions?
Oral cavoty or alkaline environments
Dexon disadvantages?
high tissue drag and prematurely dissolved in urine
PDS type of filament?
absorbable monofilament
PDS use?
sterile or infectincted urine or where extended wound suppose with absorbable suture is deisred
PDS disadvantages?
Higher memory, poor knot security
Monocryl, Ethicon type of filament
absorbable monofilament
Monocryl use?
bladder surgery, sub-q closure
Monocryl disadvantages?
mroe tissue drag than PDS
Maxon filament type?
absorbable monofilament
Maxon use?
tendon repair
Silk filament type?
non-absorbably braided multifilament
Silk uses?
opthalmic Sx
Silk contradictions?
contaminated wounds, epithelium of hollow viscera
Silk disadvantages?
marked tissue rxn
Polypropylene filament type?
non-absorbable monofilament
Polypropylene use?
skin, blood vessels
Polypropylene contradictions?
infected wounds
Polypropylene disadvantages?
high memory, poor knot security
Nylon filament type?
non-absorbable monofilament or multifilament
Nylon use?
tendon, nerve, skin
Nylon disadvantages?
poor handling and knot security
What has the greatest tensile strength of ALL sutures?
stainless steel
