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Principles of Surgery > Suture Choice > Flashcards

Suture Choice Flashcards

1
Q

Catgut, Chromic Gut, Ethicon type of filament?

A

absorbable multifilament

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2
Q

Catgut, Chromic Gut, Ethicon use?

A

Sub-Q, when you want inflammation
Use in rapidly healing tissues

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3
Q

Catgut, Chromic Gut, Ethicon contradictions for use?

A

tissues with high levels of proteolytic enzymes

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4
Q

Catgut, Chromic Gut, Ethicon disadvantages?

A

poor knot security

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5
Q

Vicryl type of filament?

A

absorbable braided multifilament

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6
Q

Vicryl use?

A

contaminated wounds, linea alba, GI tract, urinary tract

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7
Q

Dexon type of filament?

A

absorbable braided multifilament

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8
Q

Dexon use?

A

intestinal anatomosis, C-section, hernia repair

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9
Q

Dexon contradictions?

A

Oral cavoty or alkaline environments

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10
Q

Dexon disadvantages?

A

high tissue drag and prematurely dissolved in urine

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11
Q

PDS type of filament?

A

absorbable monofilament

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12
Q

PDS use?

A

sterile or infectincted urine or where extended wound suppose with absorbable suture is deisred

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13
Q

PDS disadvantages?

A

Higher memory, poor knot security

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14
Q

Monocryl, Ethicon type of filament

A

absorbable monofilament

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15
Q

Monocryl use?

A

bladder surgery, sub-q closure

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16
Q

Monocryl disadvantages?

A

mroe tissue drag than PDS

17
Q

Maxon filament type?

A

absorbable monofilament

18
Q

Maxon use?

A

tendon repair

19
Q

Silk filament type?

A

non-absorbably braided multifilament

20
Q

Silk uses?

A

opthalmic Sx

21
Q

Silk contradictions?

A

contaminated wounds, epithelium of hollow viscera

22
Q

Silk disadvantages?

A

marked tissue rxn

23
Q

Polypropylene filament type?

A

non-absorbable monofilament

24
Q

Polypropylene use?

A

skin, blood vessels

25
Q

Polypropylene contradictions?

A

infected wounds

26
Q

Polypropylene disadvantages?

A

high memory, poor knot security

27
Q

Nylon filament type?

A

non-absorbable monofilament or multifilament

28
Q

Nylon use?

A

tendon, nerve, skin

29
Q

Nylon disadvantages?

A

poor handling and knot security

30
Q

What has the greatest tensile strength of ALL sutures?

A

stainless steel

Principles of Surgery (3 decks)

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