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Surgical Sutures
Sutures & Needles
| Question | Answer |
|---|---|
| Plain Gut, absorbable or non absorbable? | absorbable |
| Plain Gut, what color is the packaging? | yellow |
| Plain Gut, what color is the suture strand? | yellow or tan |
| Plain Gut, monofilament or multifilament? | monofilament |
| Plain Gut, what is it stored in? | alcohol |
| Plain Gut, tensile strength? | decreased in 7-10 days, 0% in 2-3 weeks |
| Plain Gut, absorption rate? | enzymatic digestion complete within 70 days (faster in presence of infection) |
| Plain Gut, common usage? | superficial hemostasis, tissue with rapid healing time, ligate small vessels |
| Plain Gut, what is it made of? | submucosa of sheep intestine or serosa of beef intestine |
| Chromic Gut, absorbable or nonabsorbable? | absorbable |
| Chromic Gut, monofilament or multifilament? | monofilament |
| Chromic Gut, what color is the packaging? | beige or tan |
| Chromic Gut, what color is the suture strand? | brown |
| Chromic Gut, absorption rate? | enzymatic digestion complete within 90 days (faster in the presence of infection) |
| Chromic Gut, what is it made of? | collagen, submucosa of sheep intestine or serosa of beef intestine |
| Chromic Gut, what is it treated with and why? | treated with chromic salts to delay rate of absorption |
| Chromic Gut, tensile strength? | significant decrease in 21 days |
| Chromic Gut, common usage? | internal ligation, may be used on peritoneum and fascia and infected or contaminated areas, biliary or urinary tract |
| Maxon, absorbable or nonabsorbable? | absorbable |
| Maxon, monofilament or multifilament? | monofilament |
| Maxon, color of the packaging? | silver |
| Maxon, color of the suture strand? | green, blue |
| Maxon, is made up of what? | synthetic fiber |
| Maxon, absorption rate? | minimal for approximately 60 days and complete within 6 months |
| Maxon, tensile strength? | 70% remains at 2 weeks and 55% remains at 3 weeks. Tissue reaction is minimal |
| Maxon, common usage? | general soft tissue approximation, pediatric cardiovascular tissue, and peripheral vascular tissue |
| PDSII, absorbable or nonabsorbable? | absorbable |
| PDSII, monofilatment or multifilament? | monofilament |
| PDSII, color of packaging? | silver |
| PDSII, color of suture strand? | dyed: violet undyed: clear |
| PDSII, what is it made of? | synthetic fiber from petroleum by products |
| PDSII, absorption rate? | hydrolyzed in 180-240 days |
| PDSII, tensile strength? | 50% retained at 4 weeks, 25% retained at 6 weeks. minimal tissue reaction |
| PDSII, common usage? | tissue that requires long term tensile strength, fascia, surgery on geriatric patients, smaller sizes used on opthalmic tissue |
| Monocryl, absorbable or nonabsorbable? | absorbable |
| Monocryl, monofilament or multifilament? | monofilament |
| Monocryl, color of packaging? | coral or peach |
| Monocryl, color of suture strand? | dyed: violet undyed: clear |
| Monocryl, tensile strength? | 50-60% remains at 1 week, 20-30% remains at 2 weeks. Slight tissue reaction. |
| Monocryl, absorption rate? | completed at 91-119 days by hydrolysis |
| Monocryl, common usage? | general soft tissue approximation and/or ligation, subcuticular closure, general, gynecologic, urologic, and plastic surgery |
| Prolene, absorbable or nonabsorbable? | nonabsorbable |
| Prolene, monofilament or multifilament? | monofilament |
| Prolene, what is it made of? | synthetic fiber |
| Prolene, tensile strength? | excellent tissure reaction is less than any other synthetic material |
| Prolene, color of packaging? | deep blue |
| Prolene, color of suture strand? | blue, clear |
| Prolene,common usage? | tissue that requires long-term strength, general, cardiovascular, plastics, continuous fascia closure, commonly used on mesh |
| Nylon, absorbable or nonabsorbable? | nonabsorbable |
| Nylon, monofilament or multifilament? | monofilament |
| Nylon, color of packaging? | mint green |
| Nylon, color of suture strand? | black, clear |
| Nylon, tensile strength? | degrades 15-20% per year minimal tissue reaction |
| Nylon, common usage? | skin closure, retention suture, small sizes are used for microsurgery and opthalmic procedures |
| Stainless steel, monofilatment or multifilament? | monofilament |
| Stainless steel, tissue reaction? | very little tissue reaction |
| Is stainless steel difficult to handle and if so, why? | yes, because it is metal |
| Does stainless steel have a great knot security? | yes |
| Is stainless steel the strongest among all the nonabsorbable sutures? | yes |
| Can stainless steel suture cut through tissue? | yes |
| Will stainless steel harbor bacteria? | no |
| Vicryl, absorbable or nonabsorbable? | absorbable |
| Vicryl, monofilament or multifilament? | multifilament |
| Vicryl, color of packaging? | violet |
| Vicryl, color of suture strand? | dyed: violet undyed: beige, or off white |
| Vicryl, tensile strength? | 50% retained in 21 days |
| Vicryl, absorption rate? | minimal for 40 days, completed in 60-90 days |
| Vicryl, is made of what? | synthetic, braided material |
| Vicryl, common usage? | tissue that requires long-term tensile strength and absorbable tissue suture. General soft tissue approximation/ligation skin or mucosa |
| Can Vicryl be used in a contaminated wound? | yes, unlike other multifilaments |
| Which suture is most commonly used today? | Vicryl |
| Surgical silk, absorbable or nonabsorbable? | nonabsorbable |
| Surgical silk, monofilament or multifilament? | multifilament |
| Surgical silk, is made of what? | natural fiber from silkworm cocoons |
| Surgical silk, tensile strength? | high, most lost in 1 year tissue reaction: less than gut, more than synthetic |
| Surgical silk, common usage? | serosa of gastrointestinal tract and fascia in absence of infection, frequently used for suture ligatures |
| Surgical silk, color of packaging? | baby blue |
| Surgical silk, color of suture strand? | black |
| Nurolon, absorbable or nonabsorbable? | nonabsorbable |
| Nurolon, monofilament or multifilament? | multifilament |
| Nurolon, color of packaging? | mint green |
| Nurolon, color of suture strand? | dyed: violet, green undyed: beige |
| Nurolon, is made of what? | it is a braided nylon |
| Nurolon, tensile strength? | very high minimal tissue reaction |
| Nurolon, common usage? | general soft tissue approximation where continued strenth is necessary, commonly used for neurosurgical closures |
| Mersilene, absorbable or nonabsorbable? | nonabsorbable |
| Mersilene, monofilament or multifilament? | multifilament |
| Mersilene, color of packaging? | turquoise |
| Mersilene, color of suture strand? | green |
| Mersilene, what is it made of? | braided polyester fiber |
| Mersilene, tensile strength? | very high, no significant change known to occur |
| Mersilene, common usage? | general soft tissue approximation where continued strength is necessary, respiratory tract and cardiovascular procedures |
| Suture sizes, large to small? | #5 #4 #3 #2 #1 #0 2-0 3-0 4-0 5-0 6-0 7-0 8-0 9-0 10-0 11-0 bigger-----------------------------smaller |
| What should be identified on a suture packaging? | order code, length , needle symbol, color, absorbable/nonabsorbable, suture size, name of suture |
| Swaged needle? | less traumatic, more expensive, sterile |
| Taper (point) | atraumatic, internal organs |
| Cutting (point) | cutting edge on inside of circle, traumatic, skin |
| Reverse Cutting (point) | cutting edge on outside of circle, skin, less traumatic than cutting |
| Shapes of needles | 3/8 circle 1/2 circle straight specialty |
Created by:
SSpotwood
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