Sutures and Stitches Flashcards
Which is thicker 1-0 or 3-0
1-0
What are the 2 types of gut sutures
Plain and Chromic
What is difference between plain and chromic gut?
Chromic is tx w/ chromium which results in more collagen crosslinnks makins the suture more resistant to breakdown by the body
Vicryl: Absorbable or nonabsorbable?
Absorbable, braided
PDS: absorbable or nonabsorbable?
Absorbable, mono filament polymer
Silk: absorbable or nonabsorbable?
nonabsorbable
Prolene: absorbable or nonabsorbable?
Nonabsorbable
When is prolene used?
vascular anastomoses
hernias
abd fascial closure
Nylon: absorbable or nonabsorbable?
nonabsorbable “fishing line”
Monocryl: absorbable or nonabsorbable?
absorbable monofilament
What type of suture should be used for biliary tract and urinary tract
ABSORBABLE-otherwise sutuer will end up as a nidus for stone formation
3 types of wound healing
- Primary (intentional) closure
- Secondary intention
- Tertiary (Delayed primary closure)
Primary intentional closure
When wound is closed immediately
suture, steri strips, staples
Secondary intention
When wound is left open to heal on own. For dirty wounds
Tertiary intention
Wound is allowed to remain open for a time and then closed.
When should skin sutures be removed in/on the:
Face
3-5d
When should skin sutures be removed in/on the:
Extremities
10d
When should skin sutures be removed in/on the:
Joint
10-14d
When should skin sutures be removed in/on the:
Back
14d
When should skin sutures be removed in/on the:
Abdomen
7d
In general which group of pts should sutures stay in longer?
Pt’s on steroids
