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Plain catgut ligation of small vessels and suture subcutaneous fat and tissue under tension while healing
Chromic gut use for infected tissue and slow healing tissue and for ligation of larger vessels, biliary, urinary tracts, and muscle and fascia closure.
PDS Abdominal and thoracic closure, subcutaneous tissue and colorectal surgery
Polyglyconate sutures (Maxon) Soft tissue except cardiovascular, neural and ophthalmic tissues
Polyglactin 910 suture (Vicyl) Ophthalmic procedures and when absorption is desired
Polyglycolic acid sutures (Dexon) Peritoneal, fascial and sub Q closure
Dermal silk skin suture
Virgin silk used for ophthalmic surgery
surgical silk used in serosa of the GI tract and to close fascia when no infection is present. It provides good support during early ambulation and promotes rapid healing.
What suture material provides good support and promotes rapid healing surgical silk
surgical cotton is used for? used for ligating and suturing. it gains strength when wet.
linen suture is used for? used for GI surgery
Surgical stainless steel is used for? closure of abdominal wall or sternum, retention sutures, secondary repairs, respiratory tract, orthopedics and neurosurgery.
Stainless steel suture should not be used in the presence of? another alloy (metal) such as titanium as it can cause unfavorable electrolyte reaction
monofilament nylon (ethilon and dermalon) used for? plastic/cosmetic skin closure, microsurgery and ophthalmic
surgical nylon sutures used when? when long term support is needed
Coated polyester fiber sutures (Silicone/Ticron, Polybutilate/ethibond, polytetrafluoroethylene/Teflon, polydek, tevdek) used for? cardiovascular anastomosis and prostheses placement
Uncoated polyester fiber sutures (Mersilene and Dacron) used for? cardiovascular and respiratory surgery
Polypropylene suture (prolene or surgilene) used for? plastic surgery, cardiovascular procedures, continuous abdominal fascia closure, subcuticular pull out suture, when infection is presentand retention suture.
Important guideline for handling synthetic polymers such as prolene? hand as little as possible
Created by: lydia.koo