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