Abigail B.

Habiling BSN IV- 3; Group 3 SUTURES

ABSORBABLE SUTURES- it breaks down over time in the body. The amount of time it takes a suture to break down in the body depends on a few factors such as suture type, size and the location it is placed. 1. Surgical Gut- used in suturing oral mucosa, small vessels 2. Chromic Sutures- large vessel ties, muscle, fascia 3. Synthetic Absorbable a. Vicryl- use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological tissues. b. Dexon- use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological tissues. Note Suture absorption rates can increase in patients with fever, infection or protein deficiency. Also, the strength to a suture will decrease significantly prior to its complete breakdown time. Therefore a suture with higher tissue tension will have a greater chance of failure prior to the amount of time listed above Non-Absorbable Suture
Nylon (Ethilon), Gortex, Silk, Fiberwire, Ethibond, Prolene and Steel are all example of non absorbable suture. When used on the skin, these sutures will be removed however when used in the body they will be retained inside the tissue. Common uses for non absorbable suture: Interrupted skin suturing when sutures will be removed later, 4-0 Nylon Securing drains to skin, 2-0 Silk Repair stitches for blood vessels, 6-0 Prolene

Vessel graft stitches for AAA, Fem-Pop or Carotid Artery grafts 5-0, 6-0 prolene or gortex Bowel repair stitch, 3-0 silk Achilles Tendon Repair, #5 Ethibond or Fiberwire Color Coding: Plain Gut: Yellow Chromic: Brown Silk- Light Blue Nylon: Green Prolene- Royal Blue Vicryl- Violet Cotton- Pink NEEDLES

Classification of Needles 1.According to the Eye a. Regular eyed threaded like ordinary sewing needle b. Eyeless or swayed atraumatic, also known as dulex, atroloo c. French or Spring Eye there is slit from the end of the needle to the eye, through which is the sutureis drawn to thread it. 2.According to Shape, of shaft, cutting or non-cutting a.Non-cutting these are rounded bodied and are use on tissue that offers a small amount of resistance to the needle as it passes thru. - used to suture the viscera, peritoneum, muscle b.Cutting these make a slight tear in tissue, and the suture tends to cut it a little more. -used for tough tissues that a round needle cannot well go through such as tendon, peritoneum,fascia, subcutaneous and skin. 3.According to Shaft or Body a. Straight used primarily for skin closures b. Curved used inside for quickly recovery of the point of needle.

BLADES