Suture Patterns

Question 1

True or false:

Everting patterns are NEVER to be used in the skin.

Answer 1

FALSE

Inverting suture patterns are NEVER to be used in the skin.

Question 2

True or false:

Appositional patterns will work most everywhere, even in the GI tract.

Answer 2

TRUE

Question 3

What are the APPOSITIONAL stiches?

Answer 3

Simple interrupted

Simpled continuous

Far-far-near-near

Far-near-near-far

Forward interlocking

Gambee

Cruciate

Skin staples

Question 4

What are the EVERTING stich patterns?

Answer 4

Vertical mattress

Horizontal mattress

Question 5

What are the INVERTING stich patterns?

Answer 5

Cushing

Connell

Lembert

Halsted

Purse string

Question 6

Where migh you use a SIMPLE INTERRUPTED pattern?

Answer 6

Skin

Linea alba

Hollow organs

Buried subcuticular

Question 7

Where might you use a SIMPLE CONTINUOUS pattern?

Answer 7

Skin

Subcutaneous fascia

Linea alba

Blood vessels

Question 8

Which suture pattern is associated with MAXIMAL TISSUE APPOSITION?

Answer 8

Simple continuous

Question 9

Where might you use a FORWARD INTERLOCKING pattern?

Answer 9

Skin

Diaphragm

Question 10

In which animals might you consider using the forward interlocking pattern?

Answer 10

Primarily large animals with thick skin

Question 11

The CRUCIATE suture pattern consists of ___ number of simple interrupted sutures and ___ number of knots.

Answer 11

2 simple interrupted sutures

1 knot

Question 12

Where might you use the GAMBEE suture pattern?

Answer 12

Intestinal surgery

Question 13

The GAMBEE suture pattern inverts ____, but apposes ____, ____, and ____.

Answer 13

Inverts mucosa

Apposes serosa, muscularis, and submucosa

Question 14

True or False:

Staples have been used for intestinal closure.

Answer 14

TRUE

Question 15

The HORIZONTAL MATTRESS can be used as two different types of stiches, appositional, everting, or inverting, what are they?

Answer 15

Appositional

Everting

Question 16

The VERTICAL MATTRESS can also be used as two different stitch types, appositional, everting, or inverting, what are they?

Answer 16

Appositional

Everting

Question 17

Which is stronger in areas of tension, vertical mattress or horizontal mattress?

Answer 17

Vertical mattress

Question 18

Which 4 types of stitch patterns can be used in areas of tension?

Answer 18

Vertical mattress

Horizontal mattress

Far-far-near-near

Far-near-far-near

Question 19

What is the purpose of the “penrose drain”?

Answer 19

To prevent cutting through the skin

Question 20

What is a HALSTED?

Answer 20

Two interrupted Lemberts together

Question 21

In the LEMBERT, bites are taken in what relation to the incision?

Answer 21

Perpendicular

Question 22

True or False:

Lembert heals by primary intention.

Answer 22

FALSE

Lembert has to heal by secondary intention

Question 23

When might you opt to use the CONNELL or CUSHING patterns?

Answer 23

To close hollow viscera

Question 24

In what relation to the incision are bites taken in CONNELL or CUSHING suture patterns?

Answer 24

Parallel to the incision

Question 25

Between CONNELL and CUSHING, which one enters the lumen?

Answer 25

Connell

Question 26

What type of suture pattern might you use suturing tendons together?

Answer 26

Locking loop

Question 27

Where might you use an encircling ligature?

Answer 27

Vessels Hollow organs

Question 28

Where might you use a purse string?

Answer 28

Esophagostomy Gastrostomy Chest tubes

Question 29

Where might you use the finger trap?

Answer 29

Urinary catheters Chest tubes Gstrostomy tubes Esophagostomy tubes Nasal oxygen catheters