Suture

Front 1

Natural

Back 1

Silk

Catgut

Front 2

Monofilament

Back 2

Absorbable -

Catgut

Non absorbable -

Polypropylene

Front 3

Polyfilament

Back 3

Polyglactin 910 /vicryl

Polydioxanone/ PDS ll

Polyamide

Front 4

Advantage of polyfilament

Back 4

Good knot quality poor memory

Front 5

Disadvantage of polyfilament

Back 5

Bacteria lodgement in crevices

Biofilm

Infection

Front 6

Number of knots

Back 6

3

Front 7

What to tell

Back 7

1. This is a sterile pack

2. Containing a 2-0 silk suture

3. Natural non absorbable

4. On a atraumatic half or 3/8th circle round bodied/ cutting/ reverse cutting needle

5. With a needle length of .... mm

6. & suture length of .... cm

Front 8

Use of silk

Back 8

1. Ligation of pedicles

Cholecystectomy - cystic artery

Appendicular artery

Mesenteric vessels

Splenectomy

Nephrectomy

2. Trunkal vagotomy

3. Skin closure

Mersilk - gut R&A

Front 9

Advantage of silk

Back 9

Knots are secure

Maintains tensile strength for long time

Front 10

Catgut derived from

Back 10

Submucosa of intestine of sheep cattle

Front 11

Colour of catgut

Back 11

Brown

Chromic catgut - light brown

Front 12

Use of catgut

Back 12

Plain

1. Circumcision to ligate cut margin of prepuce

2. Small s/c vessels

3. Approximation of s/c tissue closure of incision

Chromic

1. Approx muscles

2. Pedicle in hernia

3. Closure of peritoneum

4. Gut R&A

5. Mesoapp & base of app

6. Chole - suturing GB bed to control bleeding

Front 13

Atraumatic suture

Back 13

Suture is placed inn a needle without eye so less trauma to tissues is produced

Mersuture - swaging

Front 14

Colour of vicryl

Back 14

Light violet

Front 15

Material of vicryl

Back 15

Polyglactin 910

Front 16

Absorption of vicryl

Back 16

Hydrolysis

Front 17

Absorption of catgut

Back 17

Enzymatic degradation by proteolytic enzymes

Collagen elastin

Front 18

Dye in chromic catgut

Back 18

Potassium dichromate

Front 19

Use of vicryl

Back 19

Polyglactin

P pedicles

G gut use same as catgut

Ligation of pedicles

Gut R&A choledochoduodenostomy choledochojejunostomy pancreaticojejunostomy

Muscle approximation

Closure of subcutaneous tissue abdominal incision

Front 20

Colour nylon

Back 20

Black shiny

Front 21

Use of nylon

Back 21

Abdominal wall closure

Skin closure

Tendon wall repair

Front 22

Collur of prolene

Back 22

Deep blue / magenta

Front 23

Advantage of prolene

Back 23

Immense tensile strength

Good memory secure knot

Non reactive

Monofilament - Easy passage through tissues

Can extend so accommodates post op swelling

Front 24

Disadvantage of prolene

Back 24

Poor knot quality

E - eight 8 knots

Front 25

Use of prolene

Back 25

Closure of abdominal wall

Hernia prolene mesh

Front 26

Material of prolene

Back 26

Polypropylene

Front 27

Material of PDS II

Back 27

Polydioxanone

Front 28

Absorption of PDS II

Back 28

Hydrolysis

Delayed absorption t1/2 60 days

Front 29

Colour of PDS ll

Back 29

Violet

Front 30

Use of PDS

Back 30

Same as catgut

Closure of abdominal wall incision

Gut R&A

Front 31

Advantage of PDS II

Back 31

Easy passage through tissues

Best knot quality among non absorbable sutures

Delayed absorbable - Maintains tensile strength for long time

Front 32

Delayed absorbable suture

Back 32

D - PDS II

Front 33

Knots for vicryl

Back 33

4

Front 34

Knots for prolene

Back 34

8

Front 35

Disadvantage of monofilament

Back 35

Poor knot quality

Foreign body granuloma

Front 36

Disadvantage of polyfilament

Back 36

Infection

Front 37

Prolene mesh

Back 37

Hernia repair

Rectopexy for rectal prolapse