Sutures Flashcards
This is known as a stitch. It is the active sowing also known as a completed stitch.
What is a suture
This is used for
1. holding borders of an incision together,
2.gather and turn excess tissue
3.holds flaps of skin in position during embalming,
4. correct distortion from sagging muscles
5.holds the margin of a deep wound, in a fixed position
6. form a mesh anchor, wax
7. anchor deep filler
8. circle and hold margin of a hole
9. hold armature in place or
10.attach a hair swatch
What are the 10 things that sutures are used for?
This is a thread cord or wire use for tying vessels, tissues, or bones.
What is a ligature?
Two types of these are waxed and unwaxed
What are two types of ligatures?
Live thread, silk thread, nylon thread, cotton thread, are four materials in which these are made from
What are materials that ligatures are made from?
This type of suture is an interrupted, suture, also known as a loop stitch or bridge stitch. It’s temporary stitches are used for hair attachment to anchor, ears hold flaps of skin together prior to embalming.
What is a temporary suture?
This suture is beneath the skin and will be waxed over and can only be used on clean cuts with this suture a non-cutting edge needle is used and the stitch is pulled to only after the stitching is done suture is done through the tough derma and they are two types of this suture
What is it intradermal suture?
With This type of intradermal suture only one needle and thread is used
What is a single intradermal suture?
With this type of intradermal suture, two needles and one thread is/are used and an alternating zigzag pattern is made in a shoelace fashion…
 what is a double intradermal suture?
Also known as the reduction, suture or draw it, this is used to gather in and turn under excess skin. It is done after embalming with a cutting edge needle the stitch rubs outside the surface of the skin, and is good for neck reductions, and can be waxed over since it lies flat, it is also known as the inside out baseball stitch is another good
What is a worm suture?
This suture is used for trocar holes and bullet holes and can be reopened for aspiration if necessary. It is also made before or after embalming, and is defined as a series of small stitches made around the circumference of a small opening.
What is a purse string suture?
This suture involves cross stitches which are made to form a shape in which to anchor wax. This is made after embalming with a cutting edge needle, and, depending on the circumstances, the stitches may be made on the dermis or epidermis.
What is a basket weave suture?
The best time for wax application is this many hours after embalming?
Wax is best 8 to 10 hours post embalming
The best arterial injection is through these arteries because it is closest to the restoration work.
The best arterial injection is through the carotid arteries because it is close to the restorative work.
One must get permission before doing any of these _____ techniques, except for correct things, swelling, leakage or discoloration
One must get permission before performing any restorative techniques, with the exception of correcting swelling, leakage, or discoloration
Unless this percentage of the facial structure remains intact, restorative work is not normally attempted
Unless 2/3 of the facial structure remains intact, restorative work is not usually attempted.
Restorative needs can be broken down into these three causes or origins
The restorative work needs to be broken down into 1. injury, 2.disease or 3. postmortem tissue changes
Swelling and distention can be caused by these five pre-embalming factors
What is 1. pathology/disease, 2. trauma, 3. medical procedures, 4. decomposition 5. improper handling a body
Swelling and distention can be caused by these three factors during embalming
- What are excessive amounts of fluid injected without sufficient drainage, 2. excessive massaging 3. injecting with too high rate of flow or pressure
With swelling on distention, blisters and pustules should be removed before or after embalming?
With swelling or distention, blisters and pustules should be removed before embalming.
These eight treatments should be considered, when treating swelling and distention (from least invasive to most)
- External pressure 2. applying heat, 3. elevating, swollen part 4. compress with dehydrating chemical 5. inject with constricting agent, 6. channeling 7. Lancing and aspirating 8. surgical reduction
Benign tumors enclosed in a capsule we should realign the tumor with____, or a wire or wedge
With benign tumor, we should realign the tumor with suturing wire, or a wedge.
For fibercystic, tumors, a.k.a. hard tumors, we remove tumor ____\before or after embalming and fill cavity with Hardening compound….
For fibrocystic, tumors, a.k.a. heart tumors we remove post embalming flap incision, and fill the cavity with hardening compound.
The 11 steps to large cavity excision restoration
1. Remove bandages and temporary sutures.
2.
3. Undercut margins of excision.
4.
5. Paint with liquid seal.
6.
7. Basket, weave suture
8. Imbed wax into the suture
9.
10. Reinstate, pores and marking.
11. Cosmeticize
11 steps to a large capacity, excision and restoration.
1. Remove bandages and temporary sutures.
2. Remove or excise disease or damage tissue after embalming
3. Undercut margins of the excision
4. Dry chemically exposed tissue
5. Paint with liquid sealer
6. Deep fill
7. Weave suture
8. Imbed wax into the suture
9. Wax modeling (mold wax)
10. Reinstate pores and marking
11. Cosmetics
Compresses used to bleach, preserve dehydrate, or reduce swelling and are made with ______and formed to require shape, and are used to pack ulcers, and are immediately applied _____ before/after embalming.
The compresses are made with cotton strips and are formed to require shape and should be applied immediately after embalming.
What are the four types of cotton compress?
- Chemical cavity packs with chemical agent, 2. cold water compress, 3. external surface compress, and 4. internal compress
These are three ways we can use to treat discoloration
- use compress with any bleaching agents 2. use opaque cosmetics for general discoloration 3. use solvents, which can remove Opaque cosmetics like a. trichloroethylene benzene, b. benzene, or c. Naphtha
1.Remove scabs after embalming along with any debris
2. create a smooth surface, sanding the area with an Emory cloth treat with chemical packet if necessary,
3. using an Opaque cosmetic basecoat
4. wax, the surface
5. reinstate, pores, and markings
6. cosmetics on top of the wax
These are the six steps, and how to treat what
What is how to treat an abrasion?
- Cranial vessels must be tied off or clamped during arterial embalming
- After embalming like it vessels
3 Dry out calvarium
4 Reattached skull cap - Suture and wax
These are the steps to treat what condition
What is cranial postmortem treatment?
1.Wire together any fractured bones and
2.embalm head and trunk separately
3 trim excess ragged tissue around the neck.
4.Using long rod to insert into the Foreman magnum and in the vertebral column and suture in place your attached deep muscle tissues, rod, 5. cotton plaster, seal wrap around the tissue or your next series of muscles, 5. cotton plaster sealer is wrapped around the tissues and dry cotton to retain contour of neck,
6. suture the skin of the neck Worms, suture (repeat step with each layer)
7. wax and cosmetic
These are the steps to treat which condition
What are the steps to treat decapitation?
- remove it post embalming, flap incision
- fill cavity with hardening compound, internal compress for powder
- restored deep filler, and fill under skin for support use worm, suture
- wax incision tapering the wax out
These are the steps for treating what condition
What are fibrous, cystic, tumors a.k.a. hard tumors
1.Remove bandages and temporary sutures
2. Remove or exercise, deceased or damage tissue after embalming
3. Undercut margins of the excision
4. Dry chemically exposed tissue
5 Paint with liquid sealer
6. Deep fill cavity
7. Basket, weave, suture
8. Embed wax into the suture
9.Wax modeling
10.Reinstate, pores and markings
11. Cosmeticize
These are the 11 steps to treat what condition
What are the 11 steps to treat a large cavity excision restoration?
How to treat these stains
- Hypo inject non-preserved area with preservative after embalming
- Remove charred tissue after embalming
- Reduce swelling
- Dry seal wax
- Place gauze on roasted tissue, paint with liquid sealer and wax on top
- Gauze to the skin, if necessary
These are the steps to treat what type of postmortem condition
What are the steps to treat third-degree burns?
