Sutures: Difference between revisions
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== Technique == | == Technique == |
Revision as of 12:43, 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 |
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
Source
Lampe