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Principles Of Surgery > Suture Patterns > Flashcards

Suture Patterns Flashcards

1
Q

What are the suture pattern classifications?

A
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2
Q

What kind of suture pattern is this?

A

Interrupted

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3
Q

What kind of suture patten is this ?

A

Continuous

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4
Q

Which is interrupted and which is continuous?

A

A is interrupted
B is continuous

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5
Q

What are interrupted patterns? Are they secure? What is important to remember about interrupted patterns? Would you use this in a a long surgery, or in surgery with an unstable patient?

A
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6
Q

What is a continuous pattern? What is important to remember? What is the problem with excessive tension? What can it be used for?

A
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7
Q

How do you do a simple continuous?

A
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8
Q

What is a crucial pattern? When would you use this? What is the benefit of it? How does it affect blood supply? What does it resist? When should you not use it?

A
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9
Q

How do you tie a cruciate pattern?

A
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10
Q

Steps to performing cruciate incision

A
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11
Q

What is a ford interlocking pattern? When is it used? What is the benefit? What is its effect on blood supply? What are potential complications? Is it used a lot in small animal?

A
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12
Q

What is ford interlocking similar to?

A
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13
Q

How do you perform a ford interlocking?

A
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14
Q

What is an intradermal pattern? What is the pattern classification? What occurs to the suture at the end of the pattern? What is its impact on blood supply.

A
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15
Q

How do you bury the knot in the beginning of intradermal suturing?

A
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16
Q

How do you bury the knot at the end of intradermal suture patterns?

A
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17
Q

Why is it important to bury the knot in intradermal suture patterns?

A
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18
Q

What kind of closure was used for this wound?

A
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19
Q

How do you perform an intradermal pattern?

A
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20
Q

What are the recommendations for intradermal pattern bites? How is tension adjusted? What must we remember about tissue forceps?

A
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21
Q

What are inverting patterns? When are they typically used? What are the pros? What what are the cons?

A
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22
Q

What is this suture pattern?

A

Inverting patterns
Examples:
- Cushing
- Lemberg
- Purse string

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23
Q

What is this suture pattern?

A

Ford Interlocking pattern

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24
Q

What is this suture pattern?

A

Cruciate pattern

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25
Q

What are the hollow organs of the body?

A
  • Bladder
  • Gall bladder
  • Stomach
  • Intestines
  • Uterus
  • Esophagus
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26
Q

What is the holding layer of hollow organs?

A

Tunica Submucosa

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27
Q

What are some complications of suturing hollow organs?

A
  • Dehiscence
  • Calculi/ Stone formation
  • Adhesion
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28
Q

What in the body is known for increased likelihood of adherence? What can occur if this happens?

A

The omentum likes to adhere to things. We need to be careful since the body can respond by trying to adhere organs together and we do not want that.

29
Q

What can cause calculi/ stone formation in a hollow organ with sutures?

A

This could be from bacterial components using the suture as a template, and essentially giving it a tract to grow on. *** EMAIL HER

30
Q

What should you consider when doing Single layer closure?

A

Partial thickness vs. Full thickness
- simple interrupted vs. simple continuous.

31
Q

What may you see some surgeons do in terms of closure choice for the stomach?

A

1st layer appositional
2nd layer inverting

32
Q

What may you see some surgeons do in terms of closure choice for the Urinary bladder?

A

1 layer closure : inverting pattern
2 layer closure:

▪ 1st layer = appositional pattern
▪ 2nd layer = inverting pattern

33
Q

What may you see some surgeons do in terms of closure choice for the intestines?

A

1 layer closure-> appositional pattern

34
Q

What are double layer closures consisting of?

A

2 layers
1st layer - Inner
2nd layer - outer

35
Q

What is the lembert pattern? what is its pattern classification? Is it full or partial thickness? When can it be used? When is it commonly used?

A
36
Q

What suture pattern is this?

A

Lembert pattern

37
Q

How do you perform a lembert pattern suture?

A
38
Q

What are some general recommendations for a lembert pattern?

A
39
Q

What is a cushing pattern? What layers does it traverse?

A

Pattern classification – continuous and inverting
▪ Partial thickness [non-penetrating pattern]
▪ Penetrates the submucosa, but NOT the organs’
lumen

40
Q

What is the most important thing to remember when deciding to preform this patten?

A
41
Q

When are cushing patterns typically used?

A
42
Q

How do you preform a cushing pattern?

A
43
Q

What layers are you going through with a cushing pattern?

A

submucosal and muscular layers.

44
Q

What is a connell pattern? What layers does it traverse?

A

▪ Pattern classification – continuous and
inverting
▪ Full thickness [penetrating] pattern
▪ Similar to the Cushing pattern, except
bites penetrate the lumen

45
Q

If used with 2 layer closure, can you use the connell pattern with any layer?

A
46
Q

What are the uses for connell patterns?

A
47
Q

What is the difference between cushing pattern and connell pattern?

A

The connell pattern is full thickness, while the cushing is partial thickness.

48
Q

What is a purse string pattern? What thickness does it traverse? Where is it used?

A
49
Q

What are examples of times a purse string may be used?

A

Hold a feeding tube in place

50
Q

How do you preform a purse string?

A
51
Q

In a patient with a rectal prolapse, what must you do first before putting in a purse string?

A

Reduce prolapse manually

52
Q

What is a finger trap suture pattern? How do you preform it?

A
53
Q

What are everting suture patterns? What is it used for? What is important about healing with these patterns? When are they recommended?

A
54
Q

What is tension? What can happen if there is too much tension?

A
55
Q

What are tension relieving patterns? What are they used for?

A
56
Q

What are examples of tension relieving suture patterns?

A
57
Q

What is the pattern classification of vertical mattress pattern? What is its effect on blood supply?

A
58
Q

When is a vertical mattress used?

A
59
Q

Which has more eversion: Vertical or Horizontal Mattress pattern?

A

Horizontal has more eversion

60
Q

How do you preform a vertical mattress?

A
61
Q

What is the pattern classification of horizontal mattress pattern? What is its effect on blood supply?

A
62
Q

What are the uses of the horizontal mattress pattern?

A

Stents commonly used

63
Q

How do you complete a horizontal mattress?

A
64
Q

What is the Near Far, Far Near pattern? What is it a variation of? What should it be used for ?

A
65
Q

What is the most appropriate pattern for closure of wounds with high tension? What is the benefit of this pattern?

A

Near far far near
far near near far

66
Q

How to preform the far near near far pattern?

A
67
Q

How to preform the near far far near pattern?

A
68
Q

How far away should your placement be of a “far” suture be from your incision?

A

6-8 mm. ideal: ~8mm

69
Q

How far should your placement of a near suture be from your incision?

A

3-4 mm ideal ~3-4 mm

Principles Of Surgery (14 decks)

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