Suturing

Question 1

What does tensile strength related to?

Answer 1

Suture size

Weight required to break a suture

Question 2

What does knot strength mean?

Answer 2

Force required for a knot to slip

Question 3

Configuration of Sutures

Answer 3

Monofilament

Braided multifilament

Question 4

Benefit of a Monofilament

Answer 4

Less risk of infection

Question 5

Benefit of Braided Multifilament

Answer 5

Easier to handle & tie

Question 6

Define Elasticity

Answer 6

Degree suture stretches & returns to normal length

Question 7

Memory or Suture Stiffness

Answer 7

High memory: suture stiff, difficult handling, unties

Question 8

Tissue Reactivity with Sutures

Answer 8

Inflammatory response to suture

Peaks within 2-7 days

Question 9

Define an Absorbable Suture

Answer 9

Suture breaks down over time in the body

Question 10

Break Down of Suture Depends on

Answer 10

Type
Size: 0 takes longer than 8-0
Locationi

Question 11

Types of Absorbable Suture

Answer 11

Catgut
Chromic
Vicryl
Monocryl
PDS

Question 12

Define Non-Absorbable Sutures

Answer 12

Their resistance to degradation by living tissue

Question 13

Types of Non-Absorbable Sutures

Answer 13

Silk
Nylon
Ethibond
Prolene
Surgical steel

Question 14

What are silk sutures for?

Answer 14

Tying off vessels

Question 15

What are nylon sutures for?

Answer 15

Sew in drains

Question 16

What are ethibond sutures for?

Answer 16

Retention sutures to help support the closure

Question 17

What are prolene sutures for?

Answer 17

Vessels

Question 18

What are surgical steel sutures for?

Answer 18

Closing up a sternotomy

Question 19

Chromic Absorption & Tensil Strength

Answer 19

A: 70 days
T: 10-14 days

Question 20

Vicryl Absorption & Tensil Strength

Answer 20

A: 60-90 days
T: 3-4 weeks

Question 21

Monocryl Absorption & Tensil Strength

Answer 21

A: 91-119 days
T: 21 days

Question 22

PDS Absorption & Tensil Strength

Answer 22

A: 182-238 days
T: 5-6 weeks

Question 23

Scalp Suture Removal

Answer 23

10 days

Question 24

Face, Ear, Eyebrow, Nose, or Lip Suture Removal

Answer 24

5 days

Question 25

Eyelid Suture Removal

Answer 25

3 days

Question 26

Chest & Abdomen Suture Removal

Answer 26

8-10 days

Question 27

Back Suture Removal in Adults & Children

Answer 27

A: 12-14 days
C: 10-12 days

Question 28

Extremity Suture Removal in Adults & Children

Answer 28

A: 10-14 days
C: 8-10 days

Question 29

Hand Suture Removal

Answer 29

10-14 days

Question 30

Foot & Sole Suture Removal in Adults & Children

Answer 30

A: 12-14 days
C: 8-10 days

Question 31

Penis Suture Removal

Answer 31

8-10 days

Question 32

Any Condition Delaying Wound Healing Suture Removal

Answer 32

14-21 days

Question 33

Classification for Needles

Answer 33

Taper
Cutting
Reverse cutting
Trocar point or tapercut
Blunt point
Side cutting or spatula points

Question 34

Basic Instrumentation for Suturing

Answer 34

Forceps
Needle holder
Scissors

Question 35

Other Closure Devices

Answer 35

Staples

Skin adhesives

Question 36

Advantages of Adhesive vs. Sutures

Answer 36

Maximum bonding strength at 2:30
Equivalent in strength to healed tissued at 7 days
Applied using only topical anesthetic
Faster repair time
Better acceptance by patients
Water-resistant covering
Does not require removal of sutures

Question 37

Contraindications of Skin Adhesives

Answer 37

Jagged or stellate lacerations
Bites, punctures, or crush wounds
Contaminated wounds
Mucosal surfaces
Axillae & perineum (high moisture areas)
Hands, feet, & joints (unless kept dry & immobilized)