Sutures: Difference between revisions
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==Technique== | ==Technique== | ||
*Horizontal | *Horizontal Mattress | ||
**Spreads tension over wound | |||
*Vertical: contraindication to deeps | **Useful for high tension wounds | ||
*Vertical Mattress | |||
**Great for wound eversion, closure of both sup and deep layers: contraindication to deeps | |||
*Types | *Types | ||
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== See Also == | == See Also == | ||
Trauma: | Trauma: [[laceration repair]] | ||
== Source == | == Source == | ||
Revision as of 08:09, 5 April 2011
Chart
| Area | Size | Removal |
| scalp | 4o,5o | 5-8 days |
| face | 5o,6o | 3-5 days |
| chest/abd | 3o,4o | 7-10 days |
| back | 3o,4o | 12-14 days |
| upper extrem | 4o,5o | 8-10 days |
| lower extrem | 3o,4o | 8-12 days |
| foot | 3o,4o | 10-12 days |
| joint/extensor surface | 3o,4o | 10-14 days |
| joint/felxor surface | 4o,5o | 8-10 days |
+2-3 days for elderly
Technique
- Horizontal Mattress
- Spreads tension over wound
- Useful for high tension wounds
- Vertical Mattress
- Great for wound eversion, closure of both sup and deep layers: contraindication to deeps
- Types
- Absorbable for deeps
- Never if high risk for infection
- Good for hard to reach places (kid's mouth)
- Vicryl
- Lasts longer
- Chromic
- Faster, good for oral mucosa
- Braided
- Stronger but higher infection risk
- Absorbable for deeps
See Also
Trauma: laceration repair
Source
Lampe