Sutures: Difference between revisions

Revision as of 12:41, 6 July 2011

Chart

Area	Percutaneous (Skin)	Deep (Dermal)	Days to Removal (Percutaneous Only)
Scalp	Staples or 4-0, 5-0 Prolene/Ethilon	4-0 Vicryl/Chromic Gut	5-8
Ear	6-0 Prolene/Ethilon see note below		5-7
Eyelid	6-0, 7-0 Prolene/Ethilon If low on lid, consult ophtho		5-7
Eyebrow	5-0, 6-0 Prolene/Ethilon	5-0 Vicryl/Chromic Gut	5-7
Nose	6-0 Prolene/Ethilon see note below	5-0 Vicryl/Chromic Gut	5-7
Lip	6-0 Prolene/Ethilon	5-0 Vicryl/Chromic Gut	5-7
Oral mucosa
Face	5o,6o		3-5 days
Chest/abdomen	3o,4o		7-10 days
Back	3o,4o		12-14 days
Upper extremity	4o,5o		8-10 days
Lower extremity	3o,4o		8-12 days
Foot	3o,4o		10-12 days
Joint (extensor surface)	3o,4o		10-14 days
Joint (flexor surface)	4o,5o		8-10 days

[[Image:|709x452px]]

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

Source

Lampe

Authors:

@@ Line 1: / Line 1: @@
-==Chart==
+== Chart ==
-{| border="1"
+{| border="1" cellpadding="2" cellspacing="0"
 |-
-| '''Area'''
+| <div>'''Area'''</div>
-| '''Size'''
+| <div>'''Percutaneous (Skin)'''</div>
-| '''Removal'''
+| <div>'''Deep (Dermal)'''<br/></div>
+| <div>'''Days to Removal'''<br/></div><div>'''(Percutaneous Only)'''<br/></div>
 |-
-| scalp
+| Scalp
-| 4o,5o
+|
-| 5-8 days
+Staples or 4-0, 5-0 Prolene/Ethilon
+| 4-0 Vicryl/Chromic Gut<br/>
+| 5-8<br/>
+|-
+| Ear<br/>
+|
+-0 Prolene/Ethilon
+''see note below''
+| <br/>
+| 5-7<br/>
+|-
+| Eyelid<br/>
+|
+-0, 7-0 Prolene/Ethilon
+''If low on lid, consult ophtho''
+| <br/>
+| 5-7<br/>
+|-
+| Eyebrow<br/>
+| 5-0, 6-0 Prolene/Ethilon<br/>
+| 5-0 Vicryl/Chromic Gut<br/>
+| 5-7<br/>
+|-
+| Nose<br/>
+|
+-0 Prolene/Ethilon
+''see note below''
+| 5-0 Vicryl/Chromic Gut
+| 5-7<br/>
+|-
+| Lip<br/>
+| 6-0 Prolene/Ethilon
+| 5-0 Vicryl/Chromic Gut
+| 5-7<br/>
+|-
+| Oral mucosa<br/>
+| <br/>
+| <br/>
+| <br/>
 |-
-| face
+| Face
 | 5o,6o
+| <br/>
 | 3-5 days
 |-
-| chest/abd
+| Chest/abdomen
 | 3o,4o
+| <br/>
 | 7-10 days
 |-
-| back
+| Back
 | 3o,4o
+| <br/>
 | 12-14 days
 |-
-| upper extrem
+| Upper extremity
 | 4o,5o
+| <br/>
 | 8-10 days
 |-
-| lower extrem
+| Lower extremity
 | 3o,4o
+| <br/>
 | 8-12 days
 |-
-| foot
+| Foot
 | 3o,4o
+| <br/>
 | 10-12 days
 |-
-| joint/extensor surface
+| Joint (extensor surface)
 | 3o,4o
+| <br/>
 | 10-14 days
 |-
-| joint/felxor surface
+| Joint (flexor surface)
 | 4o,5o
+| <br/>
 | 8-10 days
 |}
-+2-3 days for elderly
+[[Image:|709x452px]]
-==Technique==
+== Technique ==
 *Horizontal Mattress
@@ Line 65: / Line 120: @@
 == See Also ==
 [[Laceration Repair]]
@@ Line 71: / Line 127: @@
 Lampe
+<br/><br/>
+[[Category:Trauma]] <br/>
-[[Category:Trauma]]