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Suture Material
| Question | Answer |
|---|---|
| Advantages of Cat Gut | Good Handling; Minimal Capillary Action; Good Knot Security When Dry; Inexpensive (Reel) |
| Disadvantages of Cat Gut | Reactive; Poor Knot Security When Wet; Not Autoclavable; Irritation From Packaging Liquids; Loss of Tensile Strength > Infected Wounds; |
| Advantages of Chomic Gut over Cat Gut | Decreased Tissue Reaction; Increased Tensile Strength; Increased Resistance to Degradation; |
| Advantages of Polyglactin 910 | Minimal Reactivity; Good Handling and Knot Security; Stable in Contaminated Wounds; Absorbed Predictably; Soft, Easy to Bury |
| Classification of Surgical Gut | Abs/Nat/Multi |
| Classification of Polyglactin 910 | Abs/Syn/Multi |
| Brand Name of of Polyglactin 910 | Vicryl |
| Disadvantages of Polyglactin 910 | Tissue Drag; Nidus For Urinary Calculi; Rapidly degraded in infected urine; rapidly hydrolyzed in alkaline environments |
| Classification of Polyglycolic Acid | Abs/Syn/Multi(Braid) |
| Advantages of Polyglycolic Acid | Minimal Reactivity; Good Handling and Knot Security; Stable in Contaminated Wounds; Absorbed Predictably; Soft, Easy to Bury |
| Disadvantages of Polyglycolic Acid | Tissue Drag; Nidus For Urinary Calculi; Rapidly degraded in infected urine; rapidly hydrolyzed in alkaline environments |
| Brand Name of Polyglycolic Acid | Dexon |
| Common name of Vicryl | Polglactin 910 |
| Common name of Dexon | Polyglycolic Acid |
| Classification of Poliglecaprone | Abs/Syn/Mono |
| Brand Name of Poliglecaprone | Monocryl |
| Common name of Monocryl | Poliglecaprone |
| Advantages of Poliglecaprone | Monofilament; Good Handling (Most Pliable); Little memory; Good Strength; Predicable Absorption; Minimally Reactive; Can Use in Contaminated Wounds |
| Disadvantaged of Poliglecaprone | Expensive |
| Brand name of Polydioxanone | PDS |
| Common name of PDS | Polydioxanone |
| Classification of Polydioxanone | Abs/Syn/Mono |
| Advantages of Polydioxanone | Minimally Reactive; No Capillarity or Drag; Good Handling and Knot Security; Predictable Absorption; Good in Contaminated Sites |
| Disadvantages of Polydioxanone | Expensive; Tendency to Kink; Clear Product = Difficult to See |
| Brand name of Polyglyconate | Maxon |
| Common Name of Maxon | Polyglyconate |
| Classification of Polyglyconate | Abs/Syn/Mono |
| Advantages of Polyglyconate | Minimally Reactive; No Capillarity or Drag; Good Handling and Knot Security; Predictable Absorption; Good in Contaminated Sites |
| Disadvantages of Polyglyconate | Expensive; Tendency to Kink; Clear Product = Difficult to See |
| Classification of Silk | NonAbs/Nat/Multi(Braided) |
| Advantages of Silk | Excellent Handling Properties; Inexpensive; Individual Strands; Good Initial Tensile Strength |
| Disadvantages of Silk | Moderate Tissue Reaction and Capillarity; Potentiate Infection; Poor to Fair Knot Security; Loses Tensile Strength When Wet |
| Brand name of Nylon | Dermalon |
| Common name of Dermalon | Nylon |
| Classification of Nylon | NonAbs/Syn/Mono |
| Advantages of Nylon | Minimal Reactivity; Biologically Inert; Non-capillarity; By-Products = Antibacterial; Inexpensive |
| Disadvantages of Nylon | “Memory”; Poor Handling; Poor Knot Security (Low Coefficient Of Friction); Suture Ends Can Cause Irritation |
| Brand Names (2) of Plypropylene | Prolene & Surgilene |
| Common name of Prolene | Polypropylene |
| Common name of Surgilene | Polypropylene |
| Classification of Polypropylene | NonAbs/Syn/Mono |
| Advantages of Polypropylene | Inert -Minimal Tissue Reaction; Excellent Knot Security; Contaminated Wounds |
| Disadvantages of Polypropylene | “Slippery” Handling; “Memory” |
| Brand Name of Polymerized Caprolactum | Braunamid |
| Common name of Braunamid | Polymerized Caprolactum |
| Classification of Polymerized Caprolactum | NonAbs/Syn/Multi |
| Advantages of Polymerized Caprolactum | Good Handling; Inexpensive; Good Tensile Strength |
| Disadvantages of Polymerized Caprolactum | Extremely Tissue Reactive; Not Sterile |
| List the absorbable suture materials from shortest to longest tensile strength retention. | Momocryl (Poliglecaprone); Surgical Gut; Vicryl (Polyglactin 910); Dexon (Polyglycolic Acid); PDS (Polydioxanone) & Maxon (Polyglyconate) |
| Advantages of Cryanoacrylate adhesives | Ease of Use; Rapid Polymerization; Strong Bond; Nontoxic; Good tissue apposition |
| Disadvantages of Cryanoacrylate adhesives | Slow biodegredation; Potential foreign body reaction; poor adhesive action in wet tissue; poor in contaminated or infected wounds |
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