Suturing Tools and Techniques Flashcards
Absorbable vs Non-Absorbable Sutures:
Suture used for deep, temporary closure. Facilitates wound healing for multi-layered closure.
Absorbable sutures
Absorbable vs Non-Absorbable Sutures:
Suture used for more superficial closure, or for wounds requiring more permanent/long-term closure.
Non-Absorbable sutures
Means of degradation of Natural Absorbable Sutures
Proteolysis
Means of degradation of Synthetic Absorbable Sutures
Hydrolysis
Absorbable vs Non-Absorbable Sutures:
Type of suture used for vessel anastomosis, permanent ligation of tubular structures, bowel anastomosis, hernia fascial closure
Non-absorbable sutures
Monofilament vs Multifilament:
Sutures that have less surface area
Monofilament
Monofilament vs Multifilament:
Sutures that have less memory
Multifilament
Monofilament vs Multifilament:
Sutures that tend to require more knots. Higher memory.
Monofilament
Antibiotics used to treat inflammation due to proteolysis of natural absorbable sutures
Aldehyde, Chromium trioxide
Under Absorbable sutures: Examples of Natural Sutures:
Plain gut, Chromic Gut, Silk, Steel
Examples of Synthetic Sutures (Absorbable):
Vicryl, Monocryl, PDS
Examples of Synthetic Sutures (Non-Absorbable):
Nylon (Ethilon), Polypropylene (Prolene)
Examples of Monofilament sutures (Absorbable):
Monocryl, PDS
Examples of Monofilament sutures (Non-Absorbable):
Nylon, Prolene
Examples of Multifilament sutures (Absorbable):
Vicryl
Examples of Barbed Sutures:
Stratafix, Quill, Durabarb
Sutures used for wounds with high infection risk
Monofilament Absorbable
Sutures used for running intradermal sutures
Monofilament absorbable
Absorbable vs Non-absorbable sutures:
Sutures used for faster healing tissues (e.g., stomach, colon, bladder)
Absorbable sutures
Absorbable vs Non-absorbable sutures:
Sutures used if more strength is required: for closure of slow-healing tissues
Non-absorbable sutures
Absorbable vs Non-absorbable sutures:
Sutures best used for fascial closure, tendon repair, bone anchoring, ligament repair (prolonged tension required)
Non-absorbable sutures
Suture best used for running subcuticular closure of epidermis
Monocryl
Suture best used for interrupted sutures of the skin surface
Nylon
