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53 Cards in this Set

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What are needles categorized by?


Needle point


Needle body


Needle eye



Taper point needle


Not used in tissues that should not be traumatized




Sharp point pierces and penetrates the tissues without leaving small cuts




Best used when a sealed suture line is needed


Taper-cut needle


Round tapered body and a reverse cutting point


Used with tough, fibrous tissue and some cardiovascular procedures

Reverse cutting needle

Has 3 cutting edges on the point, makes a triangle, cutting edge is on the outside of the curve

Cutting edge needle

Has 3 cutting edge on point and body, the cutting edge is on the inside of the curve, most traumatic

Why is cutting edge needle the most traumatic?
The cutting edge on the inside of the curve cuts towards the edges of the wound compromising the strength of the tissue
Double-curve needle


either end of the needle is curved in opposite directions




Generally used in large animal surgery

Halfcurve needle
Only half the body of the needle is curved

Full-curve needle

The entire body of the needle involved in the curve

What are the most common needle curve used?

1/4 and 5/8 circle
Single-eyed needles

Suture material passed through the needle eye




Suture threaded through the eye from the inside of the curve to the outside


French-eyed needle

One complete eye and one split eye

Swagged/Eyeless needle


Most atraumatic and most common




Needle and suture are attached to each other

Tensile Strength

Amount of the force in lbs. per square inch (psi) that the suture can withstand before it breaks

Memory

Ability or tendency of the suture to return to its original packaged form.
Flexibility


Ease with which the suture is manipulated




Partially determined by the size and material used to make suture

Absorbability

Suture is either absorbable or non-absorbable
Non-absorbable suture


Not broken down by the body




remain intact for at least 2 yrs


Absorbable suture

Broken down by the body
Capillarity

Ability of h suture to allow microbes to "wick" to the interior of the suture strand

Multifilament/Braided

HAs tow or more stands braided together to foem a single strand of suture

Monofilament


Single, solid strand of suture material




creates less frictions than multifilament making less tramatic

Knot security

Some types of suture material hold knots better than other types
Color

Easier identification after placement in tissue

Criteria for selecting suture type and size

Patient size


Are of placement


Strength required


Healing potential of tissue


Importance of appearance


Cost

How is individual packaged suture sterilized
Gamma radiation

Why would a DVM use staples

Patient has post surgical incisional licking or tissue reaction to other suture material
What suture type would you use instrument tie square knot?

Absorbable an silk, for ligation

What suture type would you use instrument tie surgeons knot?
Nylon polyester, and ploypropylene

Suture patterns are categorized by what?

Apposing tissue edges, layer of tissue placement, method of placement (interrupted or continuous)

SQ pattern


Brings the skin into position but does not appropriately close the skin, decrease dead space

SC Pattern

Placed just under the skin to eliminate the need for skin sutures

Advantages of continuous sutures


Strong




Minimal use of suture material and knots


Disadvantages for using continuous sutures?

If the line breaks whole suture is broke




Bacteria can travel up the entire length of suture

Advantages of interrupted sutures?


If one suture breaks the others are okay




Minimized travel of bacteria

Disadvantages of interrupted sutures?


More operator time


More suture is used


Dehiscence

Rupture along surgical suture line

Upon removal what should the LVT be looking at?

No gaps in the incision, drainage, redness, or swelling

Cruciate matress

Ford Interlocking

Horizontal Matress

Simple continuous

Simple Interrupted

Vertical Matress
What are the Brand name and absorbability of Nylon


Ethilon, Dermalon




Non-absorbable

What are the Brand name and absorbability of Polyester


Ethibond




Non-absorbable

What are the Brand name and absorbability of Polyglactin 910


Vicryl




Absorbable 56-70 days

What are the Brand name and absorbability of Polyglycolic


Dexon




Absorbable 120 days



What are the Brand name and absorbability of Polypropylene

Surgilene, Prolene




Non-absorbable

What are the Brand name and absorbability of Polidioxanone


PDS




Absorbable 180 days

What are the Brand name and absorbability of Silk


Silk




Non-absorbable

What are the Brand name and absorbability of Chromic gut


Chromic gut




Absorbable 60 days

What are the Brand name and absorbability of Stainless steel


Stainless steel




Non-absorbable