Sutures

Question 1

Properties of ideal suture

Answer 1

Properties of an Ideal suture: An ideal suture should be
-Sterile
-Should be inert
-Should not affect tensile strength of wound -Should make a good knot
-Absence of wick phenomenon
-Maintains itstensile strength indefinitely -Should disappear as soon as its function is finished
*There is currently no material that fulfills all these requirements

Question 2

CLASSIFICATION of suture

Answer 2

A: Based on source/origin: Natural or Synthetic
Natural: catgut, chromic catgut silk, cotton, linen, steel

S y n t h e t i c :Vicryl, Nylon,
Dexon, Polydiaxonone (PDS)
Absorbability: Absorbable
or Non- absorbable
Absorbable: catgut, vicryl, dexon, PDS

3. Number of filament: Monofilament
   andMultifilament
   M o n o f i l a m e n t : p r o l e n e , n y l o n ,
   PDS, stainless steel, chromiccatgut Multifilament: vicryl, silk

Question 3

Complications of suture

Answer 3

wound infection, slow down healing process, foreign body reaction,
hypersensitivity, stitch granuloma, suture knot sinus

Question 4

Alternative of sutures

Answer 4

staples, clips, skin tapes, tissue glue

Question 5

Suture and it’s use

Answer 5

Some Suture Needles and Uses -Compound curved needles are
used for opthalmological and vascular procedures -J-shaped needle best for femoral hernia
repair
-Round bodied for anastomoses
-Straight forskin closure in surgeries
-Circle curved needles for cardiovascular oral
and nasal surgery
-Bluntpoint for hemostasis in liver