SUTURE - OR
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Plain catgut | ligation of small vessels and suture subcutaneous fat and tissue under tension while healing
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Chromic gut | use for infected tissue and slow healing tissue and for ligation of larger vessels, biliary, urinary tracts, and muscle and fascia closure.
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PDS | Abdominal and thoracic closure, subcutaneous tissue and colorectal surgery
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Polyglyconate sutures (Maxon) | Soft tissue except cardiovascular, neural and ophthalmic tissues
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Polyglactin 910 suture (Vicyl) | Ophthalmic procedures and when absorption is desired
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Polyglycolic acid sutures (Dexon) | Peritoneal, fascial and sub Q closure
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Dermal silk | skin suture
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Virgin silk | used for ophthalmic surgery
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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.
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What suture material provides good support and promotes rapid healing | surgical silk
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surgical cotton is used for? | used for ligating and suturing. it gains strength when wet.
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linen suture is used for? | used for GI surgery
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Surgical stainless steel is used for? | closure of abdominal wall or sternum, retention sutures, secondary repairs, respiratory tract, orthopedics and neurosurgery.
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Stainless steel suture should not be used in the presence of? | another alloy (metal) such as titanium as it can cause unfavorable electrolyte reaction
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monofilament nylon (ethilon and dermalon) used for? | plastic/cosmetic skin closure, microsurgery and ophthalmic
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surgical nylon sutures used when? | when long term support is needed
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Coated polyester fiber sutures (Silicone/Ticron, Polybutilate/ethibond, polytetrafluoroethylene/Teflon, polydek, tevdek) used for? | cardiovascular anastomosis and prostheses placement
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Uncoated polyester fiber sutures (Mersilene and Dacron) used for? | cardiovascular and respiratory surgery
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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.
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Important guideline for handling synthetic polymers such as prolene? | hand as little as possible
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