Suturing

Question 1

Examples of monofilament sutures

Answer 1

Polydiaxanone (PDS)

Polypropylene (Prolene)

Question 2

Examples of braided sutures

Answer 2

Silk

Polyglycolic acid (Vicryl or Dexon)

Polyester (Ethibond)

Question 3

Advantage of braided suture

Answer 3

better handling

Question 4

Disadvantage of braided suture

Answer 4

More surface for infection

Thrombogenic (Avoid in vascular)

Question 5

How long do these sutures last

Answer 5

Polyglycolic acid: 6 wks

Polydiaxone: 3 months

Silk, polypropylene, polester: permenant

Question 6

Use of silk

Answer 6

Anchoring devices

Dermal closure

Question 7

Use of polydiaxanone (PDS)

Answer 7

visceral anastomoses

dermal closure

mass closure of abdominal wall

Question 8

Use of polyglycolic acid suture

Answer 8

Closure of most tissues

Question 9

Prolene suture use

Answer 9

Most tissues

Mainly vascular

Question 10

Polyester (Ethibond) suture use

Answer 10

Laproscopic surgery

Question 11

2/0 vs 2 sututre size

Answer 11

2/0: much smaller than 2

suture sizes from small to large:

11/0, …, 5/0, 4/0, 3/0 , 2/0, 0, 1, 2, …, 7

Question 12

Wound manager bag use

Answer 12

AKA stoma bag

Viscera covered in granulation tissue

High output fistula

Question 13

Bogota bag use

Answer 13

When there is plan to reoperate

Question 14

VAC dressing risk

Answer 14

Only if the correct device between the suction device and bowel

Otherwise high risk of fistula

Question 15

Suture size for distal vascular op

Answer 15

6/0

Question 16

Suture size for proximal vascular op

Answer 16

3/0

Question 17

Suture size for bowel anostamosis

Answer 17

3/0

Question 18

Suture size formass closure

Answer 18

0 or 1/0

Question 19

When would you remove sutures from trunk

Answer 19

12-14 days

Question 20

When would you remove sutures from face

Answer 20

5-7 days

Question 21

Hydrogel dressing

Answer 21

For dry wounds

Question 22

Foam dressing

Answer 22

For wet wound