Sutures - Revision history

Rossdonaldson1: Redirected page to Laceration repair

2023-03-01T18:00:54Z

← Older revision		Revision as of 18:00, 1 March 2023
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	~~==Chart==~~		#REDIRECT[[Laceration repair]]
	~~{{Suture chart}}~~

	~~==Types==~~
	~~{\| class="wikitable sortable"~~
	~~\|+ Absorbable Sutures~~
	\|-
	~~! scope="col" \| '''Suture Type'''~~
	~~! scope="col" \| '''Days of Tensile Strength'''~~
	~~! scope="col" \| '''Complete Absorption'''~~
	~~! scope="col" \| '''Descriptions'''~~
	\|-
	~~\| Chromic Gut\|\|7-21 days\|\|90 days\|\|Chromium treated to decrease tissue reactivity~~
	\|-
	~~\| PDS (Polydioxone)\|\|14 days\|\|180-240 days\|\|Monofilament synthetic absorbable suture~~
	\|-
	~~\| Vicryl (Polyglactin)\|\|21 days\|\|90 days\|\|Synthetic~~
	\|-
	~~\| Vicryl Rapid\|\|10 days\|\|42 days\|\|Synthetic with radiation treatment for increased absorption~~
	\|}

	~~{\| class="wikitable sortable"~~
	~~\|+ Non Absorbable Sutures~~
	\|-
	~~! scope="col"\|'''Suture Type'''~~
	~~! scope="col"\|'''Tensile Strength'''~~
	~~! scope="col"\|'''Body Reactivity'''~~
	~~! scope="col"\|'''Filament'''~~
	\|-
	~~\| Nylon\|\|High\|\|Low\|\|Monofilament~~
	\|-
	~~\| Silk\|\|Low\|\|High\|\|Multifilament~~
	\|-
	~~\| Prolene (Polypropylene)\|\|Moderate\|\|Low\|\|Monofilament stiff~~
	\|}

	~~==Technique==~~
	~~[[File:Simple_Interrupted_Suture.png\|thumb\|Simple Interrupted]]~~
	~~[[File:Horizontal mattress suture.svg\|thumb\|Horizontal mattress]]~~
	~~[[File:Vertical mattress suture.svg\|thumb\|Vertical mattress]]~~
	[[File:Suture, before and after, RMO.jpg\|thumb\|Wound before and after suture closure. The closure incorporates five simple interrupted sutures and one vertical mattress suture (center) at the apex of the wound.]]
	*Simple Interrupted
	**Less potential for causing wound edema or impaired circulation
	**Allows for alignment adjustments
	*Simple Running
	**Useful for long, linear wounds
	**Risk of dehiscence if suture ruptures
	*Horizontal Mattress
	**Spreads tension over wound
	**Useful for high tension wounds
	*Vertical Mattress
	**Great for wound eversion, closure of both superior and deep layers
	**Useful when there is a contraindication to deep sutures

	~~==See Also==~~
	*[[~~Laceration Repair]]~~

	~~==External Links==~~
	*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair-a-laceration-with-simple-interrupted-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration With Simple Interrupted Sutures]
	*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair-a-laceration-with-horizontal-mattress-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration ~~With Horizontal Mattress Sutures]~~
	*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair~~-a-laceration-with-vertical-mattress-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration With Vertical Mattress Sutures]~~

	~~===Videos===~~
	~~{{#widget:YouTube\|id=TFwFMav_cpE}}~~

	~~==References==~~
	*Tajirian Ani et al. ''A review of sutures and other skin closure materials''. Journal of Cosmetic and Laser Therapy. 2010 Dec;12(6):296-302.

	~~[[Category:Trauma~~]]

Blsimpso at 01:56, 2 September 2021

2021-09-02T01:56:08Z

← Older revision		Revision as of 01:56, 2 September 2021
Line 55:		Line 55:
	==See Also==		==See Also==
	*[[Laceration Repair]]		*[[Laceration Repair]]

			==External Links==
			*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair-a-laceration-with-simple-interrupted-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration With Simple Interrupted Sutures]
			*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair-a-laceration-with-horizontal-mattress-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration With Horizontal Mattress Sutures]
			*[https://www.msdmanuals.com/professional/injuries-poisoning/how-to-care-for-wounds-and-lacerations/how-to-repair-a-laceration-with-vertical-mattress-sutures?query=how%20to%20repair%20a%20laceration Merck Manual - How To Repair a Laceration With Vertical Mattress Sutures]

			===Videos===
			{{#widget:YouTube\|id=TFwFMav_cpE}}

	==References==		==References==

Blsimpso: /* Technique */

2021-09-02T01:42:47Z

Technique

← Older revision		Revision as of 01:42, 2 September 2021
Line 43:		Line 43:
	**Less potential for causing wound edema or impaired circulation		**Less potential for causing wound edema or impaired circulation
	**Allows for alignment adjustments		**Allows for alignment adjustments
			*Simple Running
			**Useful for long, linear wounds
			**Risk of dehiscence if suture ruptures
	*Horizontal Mattress		*Horizontal Mattress
	**Spreads tension over wound		**Spreads tension over wound

Blsimpso: /* Technique */

2021-09-01T01:02:27Z

Technique

← Older revision		Revision as of 01:02, 1 September 2021
Line 36:		Line 36:

	==Technique==		==Technique==
			[[File:Simple_Interrupted_Suture.png\|thumb\|Simple Interrupted]]
	[[File:Horizontal mattress suture.svg\|thumb\|Horizontal mattress]]		[[File:Horizontal mattress suture.svg\|thumb\|Horizontal mattress]]
	[[File:Vertical mattress suture.svg\|thumb\|Vertical mattress]]		[[File:Vertical mattress suture.svg\|thumb\|Vertical mattress]]
	[[File:Suture, before and after, RMO.jpg\|thumb\|Wound before and after suture closure. The closure incorporates five simple interrupted sutures and one vertical mattress suture (center) at the apex of the wound.]]		[[File:Suture, before and after, RMO.jpg\|thumb\|Wound before and after suture closure. The closure incorporates five simple interrupted sutures and one vertical mattress suture (center) at the apex of the wound.]]
			*Simple Interrupted
			**Less potential for causing wound edema or impaired circulation
			**Allows for alignment adjustments
	*Horizontal Mattress		*Horizontal Mattress
	**Spreads tension over wound		**Spreads tension over wound

Rossdonaldson1 at 21:56, 12 August 2020

2020-08-12T21:56:28Z

← Older revision		Revision as of 21:56, 12 August 2020
Line 38:		Line 38:
	[[File:Horizontal mattress suture.svg\|thumb\|Horizontal mattress]]		[[File:Horizontal mattress suture.svg\|thumb\|Horizontal mattress]]
	[[File:Vertical mattress suture.svg\|thumb\|Vertical mattress]]		[[File:Vertical mattress suture.svg\|thumb\|Vertical mattress]]
	[[File:Suture, before and after, RMO.jpg\|thumb\|~~Vertical~~ mattress]]		[[File:Suture, before and after, RMO.jpg\|thumb\|Wound before and after suture closure. The closure incorporates five simple interrupted sutures and one vertical mattress suture (center) at the apex of the wound.]]
	*Horizontal Mattress		*Horizontal Mattress
	**Spreads tension over wound		**Spreads tension over wound

Rossdonaldson1 at 22:49, 21 November 2017

2017-11-21T22:49:19Z

← Older revision		Revision as of 22:49, 21 November 2017
Line 47:		Line 47:

	==See Also==		==See Also==
			*[[Laceration Repair]]
	[[Laceration Repair]]

	==References==		==References==

Rossdonaldson1: /* Chart */

2017-11-21T22:47:50Z

Chart

@@ Line 1: / Line 1: @@
 ==Chart==
+{{Suture chart}}
 ==Types==

Ppadlipsky: absorable to absorbable spelling change

2016-07-21T11:04:32Z

absorable to absorbable spelling change

← Older revision		Revision as of 11:04, 21 July 2016
Line 25:		Line 25:
	\| Other face / forehead\|\|6-0\|\|absorbable or nonabsorbable\|\|5		\| Other face / forehead\|\|6-0\|\|absorbable or nonabsorbable\|\|5
	\|-		\|-
	\| Chest/abdomen\|\|4-0 or 5-0\|\|non ~~absorable~~\|\|12-14		\| Chest/abdomen\|\|4-0 or 5-0\|\|non absorbable\|\|12-14
	\|-		\|-
	\| Back\|\|4-0 or 5-0\|\|non ~~absorable~~\|\|7-10		\| Back\|\|4-0 or 5-0\|\|non absorbable\|\|7-10
	\|-		\|-
	\| Extremities\|\|4-0 or 5-0\|\|non ~~absorable~~\|\|7-10		\| Extremities\|\|4-0 or 5-0\|\|non absobrable\|\|7-10
	\|-		\|-
	\| Hand\|\|5-0\|\|non ~~absorable~~\|\|7-10		\| Hand\|\|5-0\|\|non absorbable\|\|7-10
	\|-		\|-
	\| Foot / Sole\|\|4-0\|\|non absorable\|\|12-14		\| Foot / Sole\|\|4-0\|\|non absorable\|\|12-14
Line 37:		Line 37:
	\| Joint (Extensor)\|\|4-0\|\|non absorable\|\|10-14		\| Joint (Extensor)\|\|4-0\|\|non absorable\|\|10-14
	\|-		\|-
	\| Joint (Flexor)\|\|4-0\|\|non ~~absorable~~\|\|7-10		\| Joint (Flexor)\|\|4-0\|\|non absorbable\|\|7-10
	\|-		\|-
	\| Vagina\|\|4-0\|\|~~absorable~~\|\|NA		\| Vagina\|\|4-0\|\|absorbable\|\|NA
	\|-		\|-
	\| Penis\|\|5-0\|\|non ~~absorable~~\|\|7-10		\| Penis\|\|5-0\|\|non absorbable\|\|7-10
	\|-		\|-
	\| Scrotum\|\|5-0\|\|non ~~absorable~~\|\|7-10		\| Scrotum\|\|5-0\|\|non absorbable\|\|7-10
	\|}		\|}

	'''Note: consider use of Fast Absorbing Gut (5-0/6-0) on Ear, Eyelid, Eyebrow, Nose, Lip and Face if anticipated difficulty with suture removal'''		'''Note: consider use of Fast Absorbing Gut (5-0/6-0) on Ear, Eyelid, Eyebrow, Nose, Lip and Face if anticipated difficulty with suture removal'''

	'''Note: Favor ~~absorable~~ sutures for facial repair especially in children'''		'''Note: Favor absorbable sutures for facial repair especially in children'''

	==Types==		==Types==

Ppadlipsky: absorable to absorbable

2016-07-21T11:03:14Z

absorable to absorbable

← Older revision		Revision as of 11:03, 21 July 2016
Line 9:		Line 9:
	! scope="col" \|'''Days to Removal'''		! scope="col" \|'''Days to Removal'''
	\|-		\|-
	\| Scalp\|\|Staples or 4-0 or 5-0\|\|non ~~absorable~~\|\|7		\| Scalp\|\|Staples or 4-0 or 5-0\|\|non absorbable\|\|7
	\|-		\|-
	\| Ear\|\|6-0\|\|non ~~absorable~~\|\|5-7		\| Ear\|\|6-0\|\|non absorbable\|\|5-7
	\|-		\|-
	\| Eyelid\|\|6-0 or 7-0\|\|~~absorable~~ or nonabsorbable\|\|5-7		\| Eyelid\|\|6-0 or 7-0\|\|absorbable or nonabsorbable\|\|5-7
	\|-		\|-
	\| Eyebrow\|\|5-0 or 6-0\|\|~~absorable~~ or nonabsorbable\|\|5-7		\| Eyebrow\|\|5-0 or 6-0\|\|absorbable or nonabsorbable\|\|5-7
	\|-		\|-
	\| Nose\|\|6-0 \|\|~~absorable~~ or nonabsorbable\|\|5-7		\| Nose\|\|6-0 \|\|absorbable or nonabsorbable\|\|5-7
	\|-		\|-
	\| Lip\|\|6-0\|\|~~absorable~~\|\|NA		\| Lip\|\|6-0\|\|absorbable\|\|NA
	\|-		\|-
	\| Oral mucosa\|\|5-0\|\|~~absorable~~\|\|NA		\| Oral mucosa\|\|5-0\|\|absorbable\|\|NA
	\|-		\|-
	\| Other face / forehead\|\|6-0\|\|~~absorable~~ or nonabsorbable\|\|5		\| Other face / forehead\|\|6-0\|\|absorbable or nonabsorbable\|\|5
	\|-		\|-
	\| Chest/abdomen\|\|4-0 or 5-0\|\|non absorable\|\|12-14		\| Chest/abdomen\|\|4-0 or 5-0\|\|non absorable\|\|12-14

Ppadlipsky: spelling filliment and filament

2016-07-21T09:41:12Z

spelling filliment and filament

← Older revision		Revision as of 09:41, 21 July 2016
Line 74:		Line 74:
	! scope="col"\|'''Tensile Strength'''		! scope="col"\|'''Tensile Strength'''
	! scope="col"\|'''Body Reactivity'''		! scope="col"\|'''Body Reactivity'''
	! scope="col"\|'''~~Filliment~~'''		! scope="col"\|'''Filament'''
	\|-		\|-
	\| Nylon\|\|High\|\|Low\|\|Monofilament		\| Nylon\|\|High\|\|Low\|\|Monofilament

← Older revision		Revision as of 09:41, 21 July 2016
Line 74:		Line 74:
	! scope="col"\|'''Tensile Strength'''		! scope="col"\|'''Tensile Strength'''
	! scope="col"\|'''Body Reactivity'''		! scope="col"\|'''Body Reactivity'''
	! scope="col"\|'''~~Filliment~~'''		! scope="col"\|'''Filament'''
	\|-		\|-
	\| Nylon\|\|High\|\|Low\|\|Monofilament		\| Nylon\|\|High\|\|Low\|\|Monofilament