Term
|
Definition
natural
absorbable
multifilament |
|
|
Term
| dexon (polyglycolic acid) |
|
Definition
synthetic
absorbable
multifilament |
|
|
Term
|
Definition
synthetic
absorbable
multifilament |
|
|
Term
|
Definition
synthetic
absorbable
monofilament |
|
|
Term
|
Definition
synthetic
absorbable
monofilament |
|
|
Term
| Monocryl (poliglecaprone 25) |
|
Definition
synthetic
absorbable
monofilament |
|
|
Term
|
Definition
synthetic
absorbable
monofilament |
|
|
Term
| Caprosyn (polylytone 6211) |
|
Definition
synthetic
absorbable
monofilament |
|
|
Term
|
Definition
|
|
Term
|
Definition
| do NOT use in contaminated wounds, do NOT place between tissue edges |
|
|
Term
|
Definition
natural
nonabsorbable
multifilament |
|
|
Term
|
Definition
synthetic
nonabsorbable
multifilament |
|
|
Term
|
Definition
synthetic
nonabsorbable
multifilament |
|
|
Term
|
Definition
| faster, consistent application, secure hemostasis, minimal tissue reaction |
|
|
Term
|
Definition
| cost, learning curve for applying correctly |
|
|
Term
|
Definition
| absorbable, multifilament; coated with antibiotic (not substitute for sloppy technique)-possibly good for use in mouth where you know it's already contaminated |
|
|
Term
| advantages of continuous pattern |
|
Definition
| faster, better suture economy, less suture material in body, better seal of incision |
|
|
Term
| disadvantages of continuous pattern |
|
Definition
| failure of one knot may result in line failure, less adjustment of tension, must handle suture with care to avoid breakage |
|
|
Term
| advantages of interrupted pattern |
|
Definition
| failure of one knot does not result in suture line failure, allows point adjustment of tension |
|
|
Term
| disadvantages of interrupted patterns |
|
Definition
| poor suture economy, slow, more suture in body |
|
|
Term
| when do you use taper needle? |
|
Definition
| muscle, fat, parenchymatous organs |
|
|
Term
| when do you use a taper cutting needle? |
|
Definition
|
|
Term
|
Definition
| cutting edge is on concave side |
|
|
Term
| reverse cutting needle advantage? |
|
Definition
| cutting edge is on convex side; less risk of cutting through tissue |
|
|
Term
|
Definition
synthetic,
nonabsorbable
monofilament |
|
|
Term
|
Definition
synthetic,
nonabosorbable
monofilament |
|
|
Term
|
Definition
synthetic
nonabsorbable
monofilament |
|
|
Term
|
Definition
synthetic
nonabsorbable
monofilament |
|
|
Term
|
Definition
synthetic
nonabsorbable
monofilament |
|
|
Term
| examples of eversion patterns |
|
Definition
|
|
Term
| examples of inversion pattern |
|
Definition
| Cushing, Connell, Lembert, Halsted |
|
|
Term
| why use inversion pattern? |
|
Definition
|
|
Term
| example of appositional pattern? |
|
Definition
|
|
Term
what to suture uterus with?
what pattern? |
|
Definition
absorbable, monofilament (Biosyn, Dexon, Vicryl)
circumferential or transfixing |
|
|
Term
what to close linea alba with?
what pattern? |
|
Definition
(heals slower) absorbable, monofilament (PDS, Maxon, Biosyn, Dexon, Vicryl)
not Monocryl (goes away too quickly)
simple continuous (faster, better water tight seal), simple interrupted |
|
|
Term
what to close subcutis with?
what pattern? |
|
Definition
(heals very quickly) Monocryl
continuous intradermal |
|
|
Term
what to close skin with?
pattern? |
|
Definition
nonabsorbable, monofilament (Nylon)
interrupted
OR skin staples |
|
|
Term
| what to use for shunt ligation? |
|
Definition
nonabsorbable, braided: Silk
tends to create fibrous tissue rxn which is desirable in this scenario to help close shunt |
|
|
Term
| what to use for liver biopsy? |
|
Definition
| braided (helps to cut through tissue), short-medium staying (PDS, Maxon) |
|
|
Term
| suture used for cystotomy? |
|
Definition
(bladder heals very quickly)
absorbable, monofilament (Biosyn)
mucosal: continuous pattern (watertight seal)
serosal: Lembert or Cushing |
|
|
Term
| why is silk a poor choice to close a cystotomy? |
|
Definition
| braided, nonabsorbable that could potentially hang around in the lumen and be a nidus for bacteria and stones to form on (calculogenic) |
|
|
Term
| why is caprolactam a poor choice to close a ventral midline laparotomy incision? |
|
Definition
| nonabsorbable, monofilament (notorious for harboring bacteria between the outer covering and the core) |
|
|
