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| ==Chart==
| | #REDIRECT[[Laceration repair]] |
| {{Suture chart}}
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| ==Types==
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| {| class="wikitable sortable"
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| |+ Absorbable Sutures
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| |-
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| ! scope="col" | '''Suture Type'''
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| ! scope="col" | '''Days of Tensile Strength'''
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| ! scope="col" | '''Complete Absorption'''
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| ! scope="col" | '''Descriptions'''
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| |-
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| | Chromic Gut||7-21 days||90 days||Chromium treated to decrease tissue reactivity
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| |-
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| | PDS (Polydioxone)||14 days||180-240 days||Monofilament synthetic absorbable suture
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| |-
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| | Vicryl (Polyglactin)||21 days||90 days||Synthetic
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| |-
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| | Vicryl Rapid||10 days||42 days||Synthetic with radiation treatment for increased absorption
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| |}
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| {| class="wikitable sortable"
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| |+ Non Absorbable Sutures
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| |-
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| ! scope="col"|'''Suture Type'''
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| ! scope="col"|'''Tensile Strength'''
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| ! scope="col"|'''Body Reactivity'''
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| ! scope="col"|'''Filament'''
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| |-
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| | Nylon||High||Low||Monofilament
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| |-
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| | Silk||Low||High||Multifilament
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| |-
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| | Prolene (Polypropylene)||Moderate||Low||Monofilament stiff
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| |}
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| ==Technique==
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| [[File:Simple_Interrupted_Suture.png|thumb|Simple Interrupted]]
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| [[File:Horizontal mattress suture.svg|thumb|Horizontal mattress]]
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| [[File:Vertical mattress suture.svg|thumb|Vertical mattress]]
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| [[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.]]
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| *Simple Interrupted
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| **Less potential for causing wound edema or impaired circulation
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| **Allows for alignment adjustments
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| *Simple Running
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| **Useful for long, linear wounds
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| **Risk of dehiscence if suture ruptures
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| *Horizontal Mattress
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| **Spreads tension over wound
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| **Useful for high tension wounds
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| *Vertical Mattress
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| **Great for wound eversion, closure of both superior and deep layers
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| **Useful when there is a contraindication to deep sutures
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| ==See Also==
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| *[[Laceration Repair]]
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| ==External Links==
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| *[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]
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| *[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]
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| *[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]
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| ===Videos===
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| {{#widget:YouTube|id=TFwFMav_cpE}}
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| ==References==
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| *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.
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| [[Category:Trauma]]
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