SUTURE TECHNIQUE Flashcards

1
Q

what are the two types of mattress sutures?

A

horizontal

vertical

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2
Q

what mattress suture is this?

  • Excellent skin eversion
  • Good for reducing skin tension
  • Can strangulate if too tight
A

Horizontal

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3
Q

what mattress suture is this?

  • Best skin eversion
  • Good deep and superficial closure
  • Can be very difficult to remove
A

Vertical

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4
Q

▪ Ideal cosmetic result
▪ Dermis closure (requires a cutting needle)
▪ Weak repair
▪ Lowest infection rate

A

Subcuticular

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5
Q

▪ Used for subcutaneous closures
▪ Strong, customized
▪ Remains away from skin edges, presents moisture wicking andirritation
▪ Difficult and slow

A

Buried subcutaneous

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6
Q

not a suture technique but a way of closing wound?

○ Ideal for large wounds, very quick and easy
○ Good skin eversion but poor scaring
○ May be associated with SSI with prolonged use
○ Can be painful when removing

A

Skin Stapler

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7
Q

proper suture handling technique?

A

needle holder is clamped onto the needle approx 1/3 the distance from swage to point

suture is removed from the package placing tension on the swage

note needle holder

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8
Q
  • Single stitches, separately placed, tied, and cut
  • More secure, individualized, time consuming
  • May be beneficial if infected or contaminated
A

simple interrupted

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9
Q
  • A single continuously advancing stitch
  • Weaker, unreliable, uneven tension
  • Time efficient
  • Not for contaminated or infected wounds
A

simple running

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10
Q
  • Single continuously advancing stitch that is interwoven onto itself
  • Weaker, but even tension and time efficient
  • Not recommended for contaminated and infected wounds
A

running interlocking

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11
Q

what are the tendon repair techniques?

A

bunnell
krackow
giftbow mod
whipstitch

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