Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
39 Cards in this Set
- Front
- Back
|
which is bigger 2-O or 5-O suture? thicker?
|
2-O
|
|
|
which is more resistant to breakdown, plain or chromic catgut
|
chromic because the chromium salts its treated with causes collagen crosslinks, making it more resistant to breakdown
|
|
|
what color vicryl can't be used for skin closure
|
purple
|
|
|
is vicryl absorbably or not?
|
absorbable
|
|
|
is PDS suture absorbable?
|
yes
|
|
|
is silk absorbable or not?
|
not
|
|
|
is Prolene absorbable or not?
|
not
|
|
|
is monocryl absorbable or not
|
absorbable
|
|
|
how many types of wound healing
|
3
(primary, secondary, tertiary intention) |
|
|
what form of closure involves letting debridtement or something else to reduce bacterial counts before closure
|
tertiary
= DPC (delayed primary closure) |
|
|
the tighter the better for closure?
|
no! don't cause ischemia
|
|
|
when is a taper point needle used
|
suturing soft tissues other than skin
(GI tract, muscle, nerve, peritoneum, fascia) |
|
|
difference between taper point and conventional cutting needle
|
taper-point makes round hold; conventional makes a triangular hole
conventional is for skin; taper-point for others |
|
|
when to use a vertical mattress
|
difficult to approximate skin edges
everts tissue well |
|
|
difference between a horizontal and a vertical mattress stitch?
|
horizontal is parallel to wound, vertical parallel
|
|
|
what layer is a subcuticular stitch in?
|
just under the epidermis
|
|
|
what type of stitch for encircling a tube perforating a hollow viscus
|
pursestring suture
|
|
|
what is a suture ligature
|
pass suture through a vessel before wrapping it around and occluding the vessel
|
|
|
synonym for stick tie
|
suture ligature
|
|
|
what is a retention suture?
|
goes full thickness through the entire abdominal wall except peritonemum
|
|
|
what is a pop-off suture?
|
a suture that is not permanently swaged to the needle
|
|
|
when is a retention suture used
|
to buttress an abdominal wound at risk for dehiscence
|
|
|
what is the basic surgical knot
|
square knot
|
|
|
minimum throws for silk
|
3
|
|
|
minimum throws for gut
|
4
|
|
|
minimum throws for vicryl, dexon, other braided synthetics
|
4
|
|
|
minimum throws for nylon, polyester, polypropylene, PDS, Maxon
|
6
|
|
|
ear length for silk ties
|
1-2mm
|
|
|
ear length for abdominal fascia closure
|
5 mm
|
|
|
ear length for sin or drain sutures
|
5-10 mm
|
|
|
# of days to scarring by a suture
|
10
|
|
|
when to remove face sutures
|
3-5 days
|
|
|
when to remove extremity sutures
|
10 days
|
|
|
when to remove joint sutures
|
10-14 ays
|
|
|
when to remove back sutures
|
14 days
|
|
|
when to remove abdomen sutures
|
7 days
|
|
|
what do steri strips do?
|
add strength to an incision during and after suture removal
|
|
|
what do you do about sutures in a patient on steroids
|
leave in longer
|
|
|
which patients need sutures in longer?
|
on steroids
|
