Question | Answer |
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 |