Suture selection and techniques
- Continuous sutures. This technique involves a series of stitches that use a single strand of suture material.
- Interrupted sutures. This suture technique uses several strands of suture material to close the wound.
- Deep sutures.
- Buried sutures.
- Purse-string sutures.
- Subcutaneous sutures.
In this post
How many types of suturing techniques are there?
Sutures are basically of two types: Absorbable: It loses the tensile strength in 60 days. It is generally preferred for a buried type of suturing and does not require removal. Nonabsorbable: The tensile strength lasts for more than 60 days.
What are the different types of suturing?
There are two varieties of sutures: absorbable and non-absorbable.
What is suture techniques?
The suture is started by placing a simple interrupted stitch, which is tied but not cut. A series of simple sutures are placed in succession, without the suture material being tied or cut after each pass. The sutures should be evenly spaced, and tension should be evenly distributed along the suture line.
What are the 4 types of sutures?
Suture Type
| Suture Type | Absorbable | Monofilament |
|---|---|---|
| Monocryl | ✓ | ✓ |
| Nylon | ✓ | |
| Prolene | ✓ | |
| Silk |
What is the strongest suturing technique?
FiberWire is the strongest suture material for a site where a large number of throws is clinically possible. PDS II provides a strong suture when combined with cyanoacrylate reinforcement.
What are the 6 types of suturing techniques?
Suture selection and techniques
- Continuous sutures. This technique involves a series of stitches that use a single strand of suture material.
- Interrupted sutures. This suture technique uses several strands of suture material to close the wound.
- Deep sutures.
- Buried sutures.
- Purse-string sutures.
- Subcutaneous sutures.
What type of suture should I use?
Optimal cosmetic results can be achieved by using the finest suture possible, depending on skin thickness and wound tension. In general, a 3–0 or 4–0 suture is appropriate on the trunk, 4–0 or 5–0 on the extremities and scalp, and 5–0 or 6–0 on the face.
What are the types of suture needles?
Suture Anatomy
The suture needle can be from around 5.5mm to 13 mm, shaped as pointed, spatulated, reverse cutting, tapercut, straight cutting, conventional cutting, and others. It can be straight or curved, and there can be single, or double armed sutures.
What is the difference between sutures and stitches?
Although stitches and sutures are widely referred to as one and the same, in medical terms they are actually two different things. Sutures are the threads or strands used to close a wound. “Stitches” (stitching) refers to the actual process of closing the wound.
What suture is used for skin?
Percutaneous closure — The simple interrupted suture is the most common method used to close most small, uncomplicated, traumatic skin lacerations [1,14,15]. For proper healing, the edges of the wound must be everted by each stitch.
Why is it important to use the correct suture technique?
Proper placement of sutures enhances the precise approximation of the wound edges, which helps minimize and redistribute skin tension. Wound eversion is essential to maximize the likelihood of good epidermal approximation.
Who developed the principle of suture technique?
During the 19th century, the principles of suturing and operating upon the bowel were developed. Lembert published his technique, emphasizing the importance of the serosa in 1826. This brought about sudden transition from the ancient methods of intestinal surgery.
What are surgical stitches called?
A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread.
What are the 3 basic components of a suture needle?
The three basic parts of a surgical needle are the eye, the body, and the point or tip. FIGURE 7-3 Surgical needles vary in shape, size, type of point and body, and how the suture is attached.
What type of suture is Vicryl?
VICRYL Suture is a synthetic absorbable suture coated with a lactide and glycolide copolymer plus calcium stearate. It is indicated for use in general soft tissue approximation and/or ligation, including ophthalmic procedures, but not cardiovascular or neurological tissues.
What is Vicryl suture used for?
Vicryl sutures were used to suture small and large intestine, peritoneum, fascia, muscle, subcutaneous tissue, and skin and were used in thoracotomy closure.
What is the strongest non absorbable suture?
Polypropylene has the greatest tensile strength of all synthetic nonabsorbable suture materials and no appreciable reduction in strength after implantation.
What is the most common knot used in suturing?
The two-hand square knot is the easiest and most reliable for tying most suture materials. It may be used to tie surgical gut, virgin silk, surgical cotton, and surgical stainless steel.
Which suture size is bigger?
Sutures are numbered by their size relative to their diameter. Thick suture numbering is from 0-10, with #10 being the largest diameter. Thin sutures are those that have the greatest number of zeroes after them and range from 1-0 to 12-0 (12-0 having the least breaking strength).
What is suture size?
Size refers to diameter of the suture strand. the larger the suture diameter, the relatively stronger it is. measured in metric units (tenths of a millimeter) or by a numeric scale standardized by USP regulations. USP scale runs from 11-0 (smallest) to #7 (largest) zeros are written as 2-0 for 00 and 3-0 for 000, etc.