-
polyglactin 910- name and origin
- coated vicryl, vicryl rapide, vicryl plus
- synthetic
-
polyglactin 910- absorption
absorbable
-
polyglactin 910- filament
multi
-
polyglactin 910- knot
fair
-
polyglactin 910- reactivity
mild
-
polyglactin 910- handling
good
-
polydioxanone- name and origin
-
polydioxanone- absorption
absorbable
-
polydioxanone- filament
mono
-
polydioxanone- tensile loss
fair
-
-
polydioxanone- reactivity
mild
-
polydioxanone- handling
food
-
poliglecaprone 25- name and origin
-
poliglecaprone 25- absorption
absorbable
-
poliglecaprone 25- filament
mono
-
poliglecaprone 25- knot
fair
-
poliglecaprone 25- reactivity
mild
-
poliglecaprone 25- handling
great
-
-
-
-
silk- tensile loss
gradual
-
-
silk- reactivity
most reactive of non-ab
-
-
-
-
nylon- filament
multi and mono
-
-
nylon- reactivity
minimal
-
-
polymerized caprolactum- name and origin
- Vetafil, Supramid
- synthetic
-
polymerized caprolactum- absrption
non-ab
-
polymerized carolactum- filament
multi
-
polymerized caprolactum- tensile loss
none
-
polymerized caprolactum- knot
good
-
polymerized caprolactum- reactivity
intermediate
-
polymerized caprolactum- handling
good
-
stainless steel- name and origin
-
stainless steel- absorption
non-ab
-
stainless steel- filament
multi and mono
-
stainless steel- tensile loss
none
-
stainless steel- knot
absolute
-
stainless steel- reactivity
least reactive
-
stainless steel- handling
fair
-
simple interrupted- apposition
appositional
-
simple interrupted- penetration
2
-
simple interrupted- use
- skin
- intestine
- linea alba
- trachea
-
horizontal mattress- apposition
everting
-
horizontal mattress- penetration
4
-
horizontal mattress- shape
square
-
horizontal mattress- use
not common
-
vertical mattress- apposition
appositional
-
vertical mattress- penetration
4
-
vertical mattress- shape
far-far-near-near
-
-
cruciate- apposition
appositional
-
-
-
Lembert interrupted- apposition
inverting
-
Lembert interrupted- penetration
4
-
Lembert interrupted- shape
far-near-near-far
-
Simple continuous- apposition
appositional
-
-
continuous interlocking- use
skin
-
continuous locking- apposition
appositional
-
Lembert continuous- apposition
inverting
-
Lembert continuous- use
- hollow visceral organ- 1st or 2nd layer- partial thickness
- bladder
- abomasum/stomach
-
Cushing- apposition
inverting
-
Cushing- use
- 1st or 2nd layer visceral organ- partial thickness
- abomasum/stomach
- bladder
-
Connell- apposition
inverting
-
Connell- use
viscera- full thickness
-
purse string- apposition
inverting
-
purse string- use
viscera- ostomy tubes
-
-
Lembert interrupted- use
skin
-
high tissue reactivity
- silk
- more reactive than synthetic suture
-
intermediate tissue reactivity
polymerized caprolatum
-
mild tissue reactivity
- poliglecaprone 25
- polyglactin 910
- PDS
-
-
highest to lowest tensile strength
- stainless steel
- polymerized caprolactum
- polydioxanone
- nylon
- polyglactin 910
- polyglecaprone 25
- silk
-
relative knot security
- stainless steel (92%)
- polymerized caprolactum
- polydioxanone
- nylon
- polyglactin 910
- poliglecaprone 25
- silk
-
taper point needle
- circular defect
- noncutting
- internal closure
-
regular cutting edge needle
- cuts on inside of needle
- cut out of tissue
-
reverse cutting edge needle
- cuts on outside of needle
- less likely to cut out of tissue
- use on skin and fascia
-
tapered cutting edge needle
- taper point and cutting edge
- expensive
-
swaged-on needle
- attached to suture
- delicate use
- less traumatic
- expensive
-
nonswaged-on needle
traumatic
-
3-0 to 4-0 use
- skin
- SQ
- ligate small vessels
- small ovarian/uterine pedicles
-
0 to 3-0
- fascia
- muscle
- tendon
- 2-0 for linea alba
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