Suture and patterns

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Author:
mayabug
ID:
83764
Filename:
Suture and patterns
Updated:
2011-11-12 12:18:52
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Surgery
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Description:
Surgery
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  1. polyglactin 910- name and origin
    • coated vicryl, vicryl rapide, vicryl plus
    • synthetic
  2. polyglactin 910- absorption
    absorbable
  3. polyglactin 910- filament
    multi
  4. polyglactin 910- knot
    fair
  5. polyglactin 910- reactivity
    mild
  6. polyglactin 910- handling
    good
  7. polydioxanone- name and origin
    • PDS
    • synthetic
  8. polydioxanone- absorption
    absorbable
  9. polydioxanone- filament
    mono
  10. polydioxanone- tensile loss
    fair
  11. polydioxanone- knot
    fair
  12. polydioxanone- reactivity
    mild
  13. polydioxanone- handling
    food
  14. poliglecaprone 25- name and origin
    • Monocryl
    • synthetic
  15. poliglecaprone 25- absorption
    absorbable
  16. poliglecaprone 25- filament
    mono
  17. poliglecaprone 25- knot
    fair
  18. poliglecaprone 25- reactivity
    mild
  19. poliglecaprone 25- handling
    great
  20. silk- name and origin
    • Silk
    • natural
  21. silk- absorption
    non-ab
  22. silk- filament
    multi
  23. silk- tensile loss
    gradual
  24. silk- knot
    poor
  25. silk- reactivity
    most reactive of non-ab
  26. silk- handling
    ideal
  27. nylon- name and origin
    • Nylon
    • synthetic
  28. nylon- absorption
    non-ab
  29. nylon- filament
    multi and mono
  30. nylon- knot
    poor
  31. nylon- reactivity
    minimal
  32. nylon- handling
    fair
  33. polymerized caprolactum- name and origin
    • Vetafil, Supramid
    • synthetic
  34. polymerized caprolactum- absrption
    non-ab
  35. polymerized carolactum- filament
    multi
  36. polymerized caprolactum- tensile loss
    none
  37. polymerized caprolactum- knot
    good
  38. polymerized caprolactum- reactivity
    intermediate
  39. polymerized caprolactum- handling
    good
  40. stainless steel- name and origin
    • Stainless steel
    • metallic
  41. stainless steel- absorption
    non-ab
  42. stainless steel- filament
    multi and mono
  43. stainless steel- tensile loss
    none
  44. stainless steel- knot
    absolute
  45. stainless steel- reactivity
    least reactive
  46. stainless steel- handling
    fair
  47. simple interrupted- apposition
    appositional
  48. simple interrupted- penetration
    2
  49. simple interrupted- use
    • skin
    • intestine
    • linea alba
    • trachea
  50. horizontal mattress- apposition
    everting
  51. horizontal mattress- penetration
    4
  52. horizontal mattress- shape
    square
  53. horizontal mattress- use
    not common
  54. vertical mattress- apposition
    appositional
  55. vertical mattress- penetration
    4
  56. vertical mattress- shape
    far-far-near-near
  57. vertical mattress- use
    • not common
    • skin
  58. cruciate- apposition
    appositional
  59. cruciate- penetration
    4
  60. cruciate- shape
    X
  61. Lembert interrupted- apposition
    inverting
  62. Lembert interrupted- penetration
    4
  63. Lembert interrupted- shape
    far-near-near-far
  64. Simple continuous- apposition
    appositional
  65. simple continuous- use
    • SQ
    • SI
    • bladder
  66. continuous interlocking- use
    skin
  67. continuous locking- apposition
    appositional
  68. Lembert continuous- apposition
    inverting
  69. Lembert continuous- use
    • hollow visceral organ- 1st or 2nd layer- partial thickness
    • bladder
    • abomasum/stomach
  70. Cushing- apposition
    inverting
  71. Cushing- use
    • 1st or 2nd layer visceral organ- partial thickness
    • abomasum/stomach
    • bladder
  72. Connell- apposition
    inverting
  73. Connell- use
    viscera- full thickness
  74. purse string- apposition
    inverting
  75. purse string- use
    viscera- ostomy tubes
  76. cruciate- use
    skin
  77. Lembert interrupted- use
    skin
  78. high tissue reactivity
    • silk
    • more reactive than synthetic suture
  79. intermediate tissue reactivity
    polymerized caprolatum
  80. mild tissue reactivity
    • poliglecaprone 25
    • polyglactin 910
    • PDS
  81. minimal tissue reactivty
    • stainless steel
    • nylon
  82. highest to lowest tensile strength
    • stainless steel
    • polymerized caprolactum
    • polydioxanone
    • nylon
    • polyglactin 910
    • polyglecaprone 25
    • silk
  83. relative knot security
    • stainless steel (92%)
    • polymerized caprolactum
    • polydioxanone
    • nylon
    • polyglactin 910
    • poliglecaprone 25
    • silk
  84. taper point needle
    • circular defect
    • noncutting
    • internal closure
  85. regular cutting edge needle
    • cuts on inside of needle
    • cut out of tissue
  86. reverse cutting edge needle
    • cuts on outside of needle
    • less likely to cut out of tissue
    • use on skin and fascia
  87. tapered cutting edge needle
    • taper point and cutting edge
    • expensive
  88. swaged-on needle
    • attached to suture
    • delicate use
    • less traumatic
    • expensive
  89. nonswaged-on needle
    traumatic
  90. 3-0 to 4-0 use
    • skin
    • SQ
    • ligate small vessels
    • small ovarian/uterine pedicles
  91. 0 to 3-0
    • fascia
    • muscle
    • tendon
    • 2-0 for linea alba

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