Sutures: Difference between revisions
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== Chart == | ==Chart == | ||
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== Technique == | ==Technique == | ||
[[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]] | ||
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**Useful when there is a contraindication to deep sutures | **Useful when there is a contraindication to deep sutures | ||
== See Also == | ==See Also == | ||
[[Laceration Repair]] | [[Laceration Repair]] | ||
== References == | ==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. | *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]] | [[Category:Trauma]] | ||
Revision as of 22:50, 6 July 2016
Chart
| Area | Size | Type | Days to Removal |
|---|---|---|---|
| Scalp | Staples or 4-0 or 5-0 | non absorable | 7 |
| Ear | 6-0 | non absorable | 5-7 |
| Eyelid | 6-0 or 7-0 | absorable or nonabsorbable | 5-7 |
| Eyebrow | 5-0 or 6-0 | absorable or nonabsorbable | 5-7 |
| Nose | 6-0 | absorable or nonabsorbable | 5-7 |
| Lip | 6-0 | absorable | NA |
| Oral mucosa | 5-0 | absorable | NA |
| Other face / forehead | 6-0 | absorable or nonabsorbable | 5 |
| Chest/abdomen | 4-0 or 5-0 | non absorable | 12-14 |
| Back | 4-0 or 5-0 | non absorable | 7-10 |
| Extremities | 4-0 or 5-0 | non absorable | 7-10 |
| Hand | 5-0 | non absorable | 7-10 |
| Foot / Sole | 4-0 | non absorable | 12-14 |
| Joint (Extensor) | 4-0 | non absorable | 10-14 |
| Joint (Flexor) | 4-0 | non absorable | 7-10 |
| Vagina | 4-0 | absorable | NA |
| Penis | 5-0 | non absorable | 7-10 |
| Scrotum | 5-0 | non absorable | 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: Favor absorable sutures for facial repair especially in children
Types
| Suture Type | Days of Tensile Strength | Complete Absorption | 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 |
| Suture Type | Tensile Stength | Body Reactivity | Filliment |
|---|---|---|---|
| Nylon | High | Low | Monofilament |
| Silk | Low | High | Multifilament |
| Prolene (Polypropylene) | Moderate | Low | Monofilament stiff |
Technique
- 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
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.