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Suture Material

QuestionAnswer
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
Created by: WesBetts