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Technique ST > Sutures, Needle & Stapler > Flashcards

Sutures, Needle & Stapler Flashcards

1
Q

Absorbable Synthetic Monofilament

A

. PDS
. Monocryl
. Maxon
. Biosyn
. Caprosyn

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2
Q

Absorbable Synthetic Multifilament

A

. Vicryl (Polyglactin) & Coviden (Polysorb)
. Dexon (Polyglycolic Acid)

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3
Q

Nonabsorbable Synthetic Monofilament

A

. Nylon (Ethilon & Dermalon)
. Novafil (Polybutester & Coviden)
. Prolene & Surgelene (Polypropylene)
. PTFE/Monotex (Polytetrafluro-Ethylene)
. Stainless steel

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4
Q

Nonabsorbable Natural Multifilament

A

Silk

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5
Q

Nonabsorbable Synthetic Multifilament

A

. Surgical Cotton
. Nurolon & Surgilon (Braided Nylon)
. Mersilene & Ethicon [Polydek & Telflex] (Polyethylene Terephthalate)
. Ethibond [Dacron] (Polyethylene)

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6
Q

Monofilament

A

Prolene, Nylon, Catgut, PDS, Monocryl

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7
Q

Multifilament (braided or twisted):

A

Silk, Vicryl, Braided Polyester

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8
Q

Natural (Produced or exists in nature)

A

Silk worms cotton
Actual Cat Gut
Collagen
Beef or sheep intestine

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9
Q

Synthetic fibers (Produced artificially by chemicals)

A

Polyglactin
Polypropylene
Poliglecaprone

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10
Q

most commonly used Suture guage/diameter

A

1 through 4-0

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11
Q

orthopedic wounds and abd fascia used Suture guage/diameter

A

1 - #0

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12
Q

Suture guage/diameter used for aortic anastomosis (large vessel) & small vessel?

A

. 4-0 and 5-0 are used for aortic anastomosis (large vessel);
. 6-0 and 7-0 for (small vessel)anastomoses like coronary or carotid arteries

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13
Q

microvascular and eye procedures used Suture guage/diameter

A

8-0 through 11-0

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14
Q

subcuticular skin closures used Suture guage/diameter

A

3-0 and 4-0

4-0 is used to close dural incisions

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15
Q

Suture Purpose:

A

Wound Closure
*Tissue approximation
–Bringing individual surfaces together (e.g.. skin, fascia)
*Anastomosis
–Joining of tubular structure together (e.g. intestine, blood vessels) by suturing to promote unhindered flow of fluids
–Hemostasis
*Decrease blood loss
*Allow better visualization of the surgical field

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16
Q

Absorbable Natural Monofilament

A

Plain Gut & Chromic Gut

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17
Q

Standard length for ligatures/ties

A

Absorbable: 54 in
Non-absorbable: 60 in

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18
Q

Length for superficial & deep bleeders?

A

Superficial: no more than 18in
Deep: between 18-30

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19
Q

What length of tail is cut for monofilament & multifilament suture?

A

Monofilament: typically cut 1/4 in strand (a tail)
Multifilament: are cut closer to the knot (1/8 in.) [leaving no tail]

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20
Q

What instrument is used for tying?

A

Usually a long pean or right angle clamp

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21
Q

Free-Tie:

A

A strand of suture (no needle)

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22
Q

Suture Ligature (Stick-Tie):

A
  • A strand of suture w/ a needle
  • Sutures on the vessel and tied
  • To prevent slippage
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23
Q

Ligature Reels:

A

. Wound w/ absorbable or Non-absorbable sutures
. Used in superficial bleeders
. Most commonly used ligature reels: chromic, plain, silk & polyglactin (Vicryl)

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24
Q

Needle eyes:

A

Point where suture strand is attached.
Ex.
. Closed eye
. French eye
. Swaged (Eyeless)
. Single (Swaged)
. Double (Swaged)

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24
Q

Closed Eye:

A

Causes more tissue damage
(Ex. Sewing Needle)

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25
Q

French Eyed:

A

. Fast Loading
. Causes more tissue damage (v-shaped area above the eye)

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26
Q

Swaged (Eyeless)

A

. Needless are continuous w/ the suture strand or the needle may be detached
. Less tissue damage
. Detachable needle is referred to as a controlled release

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27
Q

Single (Swaged) - Arm

A

. Single needle is attached to the suture
. Used for interrupted or continuous suturing

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28
Q

Double (Swaged) - Arm:

A

. Needles swaged to each end of the suture
. Used for anastomosis of vessels

29
Q

Needle Points:

A

Are cutting needles used for though tissue like sclera, tendon or skin
Ex.
Conventional, Reverse & Side cutting needles

30
Q

Conventional Cutting Needle:

A

. 3 cutting edges directed along the inner curve of the needle
. Place a small cut in the direction of the pull of the structure

31
Q

Reverse Cutting Needle:

A

. Opposing cutting edges in a triangular configuration that extends into the shaft
. Used in the skin results in less tearing of the tissue

32
Q

Side Cutting Needle:

A

. Does not penetrate into deeper tissues
. Used primarily in ophthalmic procedures

33
Q

Tapered Point Needle:

A

. Round shaft without a cutting edge
. Penetrates tissues without cutting it (intestines)

34
Q

Blunt Point Needle:

A

. Round shaft with a blunt tip
. Used for friable tissues (kidney & liver)

35
Q

Taper Cut Needles aka Ground Point Needles:

A

. Point with sharp edges but a round body of a tapered needle
. Used for graft
. Makes smaller holes in the tissue
. Primary choice for vascular tissue

36
Q

What is the range of needle length?

A

1/2 to 4 in

37
Q

What is the guage size range of a needle?

A

12-30

38
Q

Smaller needles have the larger what?

A

Gauge number

39
Q

CP = ?

A

Cutting Point

40
Q

CT=?

A

Circle Taper

41
Q

CTX=?

A

Circle Taper Extra Large

42
Q

CV=?

A

Cardiovascular

42
Q

FS=?

A

For skin

43
Q

FSL=?

A

For skin large

44
Q

KS=?

A

Keith Straight

45
Q

MO=?

A

Mayo

46
Q

PS=?

A

Plastic Surgery

47
Q

S=?

A

Spatula

47
Q

OS=?

A

Orthopedic Surgery

48
Q

RB=?

A

Renal (artery) Bypass

49
Q

SH=?

A

Small Half Circle

50
Q

TF=?

A

Tetralogy of Fallot

51
Q

UR=?

A

Urology

52
Q

Order of layer closure for abdominal wounds:

A

Order of layer closure for abdominal wounds:

53
Q

Fast Healing Layer: Abdominal

A

Peritoneum

54
Q

Primary Supportive soft tissue structure: Abdomen

A

Fascia

54
Q

Slowest healing layer: Abdominal

A

Fascia

55
Q

Muscles

A

. Not typically closed but may be loosely approximated with interrupted absorbable sutures

56
Q

Peritoneum

A

. Thin membrane lining the abdominal cavity
. Fast healing
. May not require suturing if the fascia is closed properly
. Continuous 3-0 absorbable suture is frequently used

57
Q

Fascia

A

. Tough connective tissue covering the muscle; primary supportive soft tissue structure of the abdomen
. Heals slowly
. Heavy interrupted non absorbable suture is used
. Absorbable- slow absorbing & high tensile strength
. If facial layer is weak a mesh can be applied

58
Q

Subcutaneous Tissue:

A

. Placement of few interrupted sutures to prevent dead space
. Plain gut is often used

59
Q

Subcuticular Tissue:

A

. Area of tough connective tissue beneath the skin above the subcutaneous
. Subcuticular closure is used to minimize scaring
. Absorbable sutures are often used

60
Q

Skin Tissue:

A

. Closed with interrupted or continuous monofilament, Nonabsorbable sutures in a cutting needle
. Polypropylene or nylon preferred

61
Q

Primary Suture Line

A
  • Suture that approximate wound edges for first intention healing
  • Interrupted, Continous
62
Q

Continuous or Running Suture

A
  • Single strand spure placed na series of sliches for closure
  • Even distributed tension is the hallmark of mis cosure
  • Drawback the suture losens fone segment breaks
63
Q

Interrupted Sutures

A
  • Used in fascia & heart closures
  • Useful in infected wounds, “interrupts the pathway of bacteria”
64
Q

Traction Sutures

A
  • Used to retract a structure that may not be easily retracted with a conventional retractor
65
Q

Purse String Suture

A
  • Drawstring Suture is placed in a circular fashion around a structure in such a way that pulling on the suture tightens & closes an opening such as the appendix
66
Q

Subcuticular Suture

A
  • Buried Suture
  • Used for skin closure ONLY
  • Steristrips may be used to reintorce the suture
67
Q

Secondary Suture Line

A
  • Useful for support of the primary suture line
  • Helps ease tension on the primary suture line
68
Q

Retention Sutures

A
  • Large gange, interrote, Non absorbable sutures placed lateral to the primary suture line for wound reinforcement

Technique ST (25 decks)

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