Unit 12 suture
What gauge is a stick tie
2-0 or 3-0
Common suture gage used in vascular
7-0 6-0 5-0
Purse string suturing technique
A drawstring suture placed in a circular fashion around the structure
Continuous suturing technique
A primary suture line consisting of a single strand of suture placed as a series of stitches
Ligating clips
Also known as hemaclips, liga clips, weck clips or clips
Wound support
Amount of strength and length of time suture material provides tissue support throughout healing process
Tensile strength
Amount of tension or pull, expressed in pounds, that a strand of suture will withstand before it breaks
Facia
Anterior and posterior sheets of tough fibrous connective tissue which surround the muscle
Dead space
Area of open space where serum and blood can accumulate
Approximation
Bringing together two sides or edges
Absorbable suture
Broken down by body through hydrolysis
Wicking
Capillary action when a suture acts as a wick to move tissue fluid and spread infection
Inert
Causing little or not tissue reaction
Atrumatic
Causing minimal tissue trauma refers to the suture-needle combination when the suture is swaged into the needle
Violet
Color of the package Vicryl
Blue
Color of the package for silk suture
Chromic
Common suture in vascular graft
Enzyme
Complex substance within tissue cells which may break down and digest surgical gut
Interrupted suturing technique
Each stitch is individually placed tied and cut for the length of the wound
Multifilament
Exhibit a characteristic called capillarity which is the capability to harbor bacteria
Swaged
Indicates that the suture is attached to the inside of the head of the needle by the manufacturer. It is essentially an eyeless needle
Primary wound closure
Joining edges of the wound together
Retention sutures
Large gauge interrupted nonabsorbable sutures placed lateral to primary suture line for wound reinforcement
#7
Largest suture diameter
Friable tissue
Liver kidney spleen
Steri strips
Long narrow sterile strips of tape with adhesive backing used to approximate skin edges. Also known as skin closure tapes
Suture
Material used to approximate tissue or tie off blood vessels
GOAL
Maximum healing in minimal time
Multifilament sutures
Mersilene, Surgilon, Nurolon
Monofilament sutures
Monocryl, V-loc, Maxon
Surgical steel
Most inert suture
Blunt
Needle point used for suturing friable tissue
Taper
Needle point used on soft delicate tissue
Non absorbable suture
Permanent wound support, foreign filaments left over
Blunt
Point used on the liver
PDS
Provides the greatest wound support
Proline
Provides the greatest wound support if infection present
Friable
Refers to any tissue that is easily torn
Monofilament
Relatively inert do not readily harbor bacteria relatively difficult to handle
Evisceration
Removal of internal organs
Dehisence
Seperation of wound edges to some extent also called a disruption
Bleeder
Severed blood vessel
Type of suture used in stick tie
Silk
True
Silk is manufactured by ethicon
False
Silk is not manufactured by ethicon
Stick tie is what kind of suture
Silk or vicryl
11-0
Smallest suture diameter
Bone wax
Sterile preparation rubbed into bleeding points on surface of bone for homeostasis
Hemostasis
Stopping blood flow from a vessel
Tie
Strand of suture material used for tying a blood vessel or other structure to constrict or bind it
Tie-on-passer
Suture strand attached to a clamp generally used to ligate in deep areas with minimal exposure
Stick-tie
Suture strand attached to a needle used to ligate structures
Gut absorbable sutures
Sutures packaged with alcohol water solution
Inert
Sutures with no elasticity
Suture gauge
The diameter of the tie
Subcuticular suturing technique
The first throw is a single suture technique at the end of the wound with multiple subcuticular bitesbites are made opposite each other the length of the wound
The deeper the wound
The greater the curvature
Peritoneum
The soft membrane that lines the inside of the abdomen
Capillary
Tissue trauma
Approximate
To bring tissues together
Debilitation
To make something weak
Suture boots
To protect the ends of a mosquitos also known as rubber shods
Anastomosis
To sew together a tubular structure
Ligate
To tie a structure, such as a vessel
True
Vicryl is manufactured by ethicon
False
Vicryl is not manufactured by ethicon
Hydrolosis
Water break down
Umbilical tape
White woven cotton literature frequently used to isolate and suspend small structures in pediatric and cardiovascular procedures