Author: Dr Todd Gunson, Dermatology Registrar, Broadgreen Hospital, Liverpool, United Kingdom, 2008. Show
IntroductionThe choice of an appropriate suture for any wound closure will make a large contribution to the final functional and cosmetic result. Often, two layers are used:
Characteristics of suture materialThe choice of suture is determined by a balance of the various characteristics of suture materials most appropriate for the specific wound closure situation.
Absorbable Sutures
Non-absorbable Sutures
NeedlesThe three major parts of a surgical needle are the tip (or point), the body, and the shank.
Alternative skin closureStaples provide a quick alternative for large scalp and trunk wounds. Surgical glue may be appropriate where there is little or no wound tension. Wound closure tapes (e.g. Steristrips®) are often helpful to support the wound following subcuticular closure, use of surgical glue, or after removal of epidermal sutures. SummaryIn general the smallest suture that will provide adequate support for the healing wound should be used. Polyglactin 910 provides a versatile deep suture in most cases, although Poliglecaprone 25 may be preferred in situations where minimal tissue reaction is essential, and Polytrimethylene carbonate in high tension wounds. Monofilament absorbable sutures are preferable in contaminated wounds. Nylon or Polybutester are considered standard epidermal sutures for most situations. Polypropylene is ideal for running subcuticular sutures, and either Silk or Polyester for mucosal applications. A 3/8 or 1/2 circle reverse cutting needle is suitable for most wound closures. 5-0 or 6-0 sutures are typically used for facial repairs, while 4-0 or 3-0 are standard for most wounds on the trunk and extremities. Which antiseptic is the most effective for a surgical hand scrub?Liquid or foam soaps. These are the most common products for surgical scrubs and are used in conjunction with water and dry scrub brushes or sponges. The most common antimicrobial agents in these products are CHG (chlorhexidine gluconate), iodophor, or PCMX (parachlorometaxylenol).
Which antiseptics are the most effective for a surgical hand scrub or patient skin preparation for surgery quizlet?Which antiseptic(s) are the most effective for a surgical hand scrub or patient skin preparation for surgery? Research indicates that chlorhexidine (Hibiscrub or Hibiclens) and povidone-iodine solution (Betadine) are safe, effective antiseptics.
Which of these anesthetic agents is injected into subcutaneous tissue resulting in temporary cessation of feeling at the site of the injection?Local anesthetics are injected into the subcutaneous tissue. These produce a temporary cessation of feeling at the site of injection by blocking the generation and conduction of nerve impulses.
Which of the following forceps are used to grasp tissue and in suturing?Adson Forceps: Forceps toothed at the tip used for handling dense tissue, such as in skin closures. Also called locking forceps, these are ratcheted instruments used to hold tissue or objects, or provide hemostasis.
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