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