Suture Types Flashcards

1
Q

Surgical Gut

A
Absorbable 
Brand name: cat gut
Natural suture
Multifilament
Plain or chromic
-Plain absorbed in 3-5 days
-Chromic absorbed in 10-15 day
*Absorbed completely in 60 days
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2
Q

Surgical Gut Advantages/Disadvantages

A

Advantages: ties knots securely
Disadvantages: increased amount in tissue reactions, swells when wet, shrinks when dry
*Never re-sterilize (cannot be exposed to heat/drying)

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3
Q

Vicryl

A
Absorbable
Generic name: polyglactin 910
Synthetic
Multifilament
Absorbs in 56-70 days
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4
Q

Dexon

A
Absorbable
Generic name: polyglycolic acid 
Synthetic
Multifilament
Partial absorption @ 90 days, completely gone @ 120 days
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5
Q

PDS

A
Absorbable
Generic name: polydioxanone
Synthetic
Monofilament
Complete absorption in 180 days
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6
Q

Maxon

A
Absorbable 
Generic name: polyglyconate
Synthetic
Monofilament
Complete absorption in 180 days
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7
Q

Silk

A
Non-absorbable
Brand name: perma hand
Natural
Multifilament
Will absorb after several years
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8
Q

Nylon

A
Non-absorbable
Synthetic 
Ethilon- monofilament
Dermalon- monofilament
Polymid- multifilament
Braunamid- Multifilament
Surgilon- Multifilament
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9
Q

Polyprolene

A

Non-absorbable
Generic name: prolene/surgilene
Synthetic
Monofilament

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10
Q

Polyester Fiber

A

Non-absorbable
Generic name: ethibond/dacron
Synthetic
Multifilament

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11
Q

Steel

A
Non-absorbable
Brand name: flexon
Synthetic
Monofilament
No tissue reaction
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12
Q

Single Needle

A

Needle by itself

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13
Q

Swagged Needle

A

Needle connected to suture

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14
Q

Taper

A

Sharp at tip only
Internal sutures
(Organs are soft)

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15
Q

Cutting

A

Sharp at tip and sides

Skin sutures

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16
Q

Continuous Suture Pattern

A

One knot at beginning and end of line

Advantages: minimal use of suture material, strong
Disadvantages: If line breaks, whole pattern unravels, bacterial can wick up line, can be pulled too tight

Examples: Simple Continuous and Ford Interlocking

17
Q

Interrupted Suture Pattern

A

Each stitch has a knot

Advantages: If one suture breaks, the rest will stay in tact, bacteria cannot travel up line
Disadvantages: Uses more suture material, time consuming

Examples: Simple Interrupted, Horizontal/Vertical Mattress, Cruciate