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40 Cards in this Set

  • Front
  • Back

Single Strand

Monofilament

Bundle of Strands

Multifilament

Ties easily

Monofilament

Passes easily through tissue

Monofilament

Has more memory

Monofilament

Good for percutaneous sutures as smooth surface is less prone to drawing microorganisms into the tissue

Monofilament

Knots may slip over time

Monofilament

Greater tensile strength, pliability, flexibility and knot security

Multifilament

May harbor microorganisms and wick them down the suture

Multifilament

Should not be used for percutaneous sutures

Multifilament

Maintains strength temporarily but gradually loses tensile strength

Absorbable Sutures

Retains tensile strength

Non-absorbable Sutures

Useful for device fixation, areas of extreme tension, slow healing areas or percutaneous skin sutures

Non-absorbable sutures

Proteolytic Enzymatic Digestion

digestion of natural absorbable sutures by body enzymes with attack and break down the suture

Type of absorbable suture broken down by proteolytic enzymatic digestion

surgical catgut

Hydrolysis

Process by which water gradually penetrates the suture filaments, causing the breakdown of the suture's polymer chain

5 Types of absorbable suture broken down by hydrolysis

  1. Polyglactine 910 (Vicryl)
  2. Polyglycolic Acid (Dexon)
  3. Poliglecaprone 25 (Monocryl)
  4. Polydioxanone (PDS II)
  5. Polyglyconate (Maxon)

Vicryl

Polyglactine 910

Dexon

Polyglycolic Acid

Monocryl

Poliglecaprone 25

PDS II

Polydioxanone

Maxon

Polyglyconate

6 Types of Non-absorbable Suture

  1. Monofilament polypropylene (Prolene)
  2. Polyester fiber (Mersilene, Dacron, Ethibond, Ticron)
  3. Monofilament Nylon (Ethilon, Dermalon)
  4. Braided Nylon (Nurolon, Surgilon)
  5. Silk
  6. Surgical Stainless Steel Wire

Weakened by crushing

Monofilament

Prolene

Monofilament polypropylene

Mersilene, Dacron, Ethibond, Ticron

Polyester fiber (braided)

Ethilon, Dermalon

Monofilament Nylon

Nurolon, Surgilon

Braided Nylon

5 Types of Needles

  1. Conventional Cutting Needle
  2. Reverse cutting needle
  3. Taper needle
  4. Taper body needle
  5. Spatula Needle

skin closure

conventional cutting needle

tough tissues

reverse cutting needle

smooth, soft tissue

taper needle

blunt dissection and friable tissue

taper body needle

eye surgery

spatula needle

two successive double throws are useful to prevent slippage

Nylon Monofilament Suture

needle with the cutting edge on the concave (inner) surface

Conventional cutting needles

needle with cutting surfaces on the convex (outer) surface

Reverse cutting needles

The needle has a tapered and no cutting edge; therefore, it is generally used for closing soft tissue such as gastrointestinal, vascular, fascia, and other soft tissue that is found below the skin’s surface.

Taper body needle

a minute needle with a flat or slightly curved concave surface that does not cut or pierce.

Spatula needle

Suture Size in order from smallest to largest

7-0, 3-0,0, 1, 3, 7, etc.