Suturing Flashcards
What are the functions of suture material?
Wound closure - Ligation - Attachment of tubes - Stay sutures
What are the ideal properties of suture material in relation to tissue interaction?
Maintains strength until healing - Rapid resorption after use - Easily removed - Minimal tissue reaction - Doesn’t favour bacterial growth - Minimal drag - Suitable for all wounds
What are the ideal properties of suture material in relation to the surgeon?
Easy to handle - Pliable - Good knot security
What are the ideal properties of suture material?
Easy to sterilise - Non-capillary - Non-electrolytic - Non-corrosive - Non-allergenic - Non-carcinogenic
What suture materials are synthetic absorbable multifilament?
Vicryl - Dexon - Polysorb - Panacryl
For synthetic absorbable multifilament suture materials, how long does it take for it to be absorbed?
60 to 90 days
What are the main uses of synthetic absorbable suture material?
Vessel ligation - General soft tissue closure (skin & mouth)
What are the two suture materials that are synthetic absorbable monofilaments?
Monocryl - Caprosyn (short duration) PDS II - Maxon - Biosyn (long duration)
What are the uses of synthetic absorbable monofilament suture materials?
General soft tissue closure - Visceral closure (monocryl) (short duration) Soft tissues needing a lot of support - Muscle, fascia, linea alba, viscera (long duration)
What materials are non-absorbable monofilament?
Prolene (surgi pro) - Ethilon (monosof) - Flexon
What’s the use for non-absorbable monofilament suture material?
Inert (skin, stoma, vessels) - Prolonged support (hernia/tendon)
What materials are non-absorbable multifilament?
Mersilene - Ethibond - Novafil - Supramid
What are the uses of non-absorbable multifilament suture materials?
Ligament prosthesis - Skin closure
What are the natural suture materials? Are they multifilament or monofilament?
Catgut - Collagen (absorbable) Mersilk - PermaHand (non-absorbable) Mutifilament
What are natural suture materials used for? Which type does what?
Vessel ligation Absorbable for small - Non-absorbable for large