Suturing Flashcards

1
Q

What does tensile strength related to?

A

Suture size

Weight required to break a suture

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2
Q

What does knot strength mean?

A

Force required for a knot to slip

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3
Q

Configuration of Sutures

A

Monofilament

Braided multifilament

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4
Q

Benefit of a Monofilament

A

Less risk of infection

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5
Q

Benefit of Braided Multifilament

A

Easier to handle & tie

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6
Q

Define Elasticity

A

Degree suture stretches & returns to normal length

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7
Q

Memory or Suture Stiffness

A

High memory: suture stiff, difficult handling, unties

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8
Q

Tissue Reactivity with Sutures

A

Inflammatory response to suture

Peaks within 2-7 days

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9
Q

Define an Absorbable Suture

A

Suture breaks down over time in the body

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10
Q

Break Down of Suture Depends on

A

Type
Size: 0 takes longer than 8-0
Locationi

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11
Q

Types of Absorbable Suture

A
Catgut
Chromic
Vicryl
Monocryl
PDS
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12
Q

Define Non-Absorbable Sutures

A

Their resistance to degradation by living tissue

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13
Q

Types of Non-Absorbable Sutures

A
Silk
Nylon
Ethibond
Prolene
Surgical steel
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14
Q

What are silk sutures for?

A

Tying off vessels

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15
Q

What are nylon sutures for?

A

Sew in drains

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16
Q

What are ethibond sutures for?

A

Retention sutures to help support the closure

17
Q

What are prolene sutures for?

A

Vessels

18
Q

What are surgical steel sutures for?

A

Closing up a sternotomy

19
Q

Chromic Absorption & Tensil Strength

A

A: 70 days
T: 10-14 days

20
Q

Vicryl Absorption & Tensil Strength

A

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

21
Q

Monocryl Absorption & Tensil Strength

A

A: 91-119 days
T: 21 days

22
Q

PDS Absorption & Tensil Strength

A

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

23
Q

Scalp Suture Removal

A

10 days

24
Q

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

A

5 days

25
Q

Eyelid Suture Removal

A

3 days

26
Q

Chest & Abdomen Suture Removal

A

8-10 days

27
Q

Back Suture Removal in Adults & Children

A

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

28
Q

Extremity Suture Removal in Adults & Children

A

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

29
Q

Hand Suture Removal

A

10-14 days

30
Q

Foot & Sole Suture Removal in Adults & Children

A

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

31
Q

Penis Suture Removal

A

8-10 days

32
Q

Any Condition Delaying Wound Healing Suture Removal

A

14-21 days

33
Q

Classification for Needles

A
Taper
Cutting
Reverse cutting
Trocar point or tapercut
Blunt point
Side cutting or spatula points
34
Q

Basic Instrumentation for Suturing

A

Forceps
Needle holder
Scissors

35
Q

Other Closure Devices

A

Staples

Skin adhesives

36
Q

Advantages of Adhesive vs. Sutures

A
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
37
Q

Contraindications of Skin Adhesives

A

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)