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Principles of Surgery
- Acute Limb Ischaemia
- Anastamosis
- Blood transfusion
- Brainstem death
- Burns
- Chemotherapy
- Clinical Trials / Medical statistics
- Diathermy
- Drains
- Dressings
- Fracture healing
- Gunshot wounds / Blast Injury
- Informed Consent
- Intensive Care (ITU)
- Nerve Injury
- Operating list order
- Paediatrics
- Palliative care
- Patient safety in theatre
- Radiotherapy
- Screening
- Sterilisation & disinfection
- Stoma
- Surgical Audit
- Sutures / Needles
- Symptom based
- Theatre design
- Tourniquet
- Transplantation
- Wound healing
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Sutures / Needles
Characteristics of an ideal suture
| Surgeon | Patient | Healthcare provider |
| Easy to handle Secure Predictable tensile strenght Predictable absorption Sterile |
Minimal tissue reaction |
Inexpensive Easy to produce |
Classification of sutures
| Absorption | Construction | Composition |
| Absorbable: vicryl, PDS, catgut Non-absorbable: nylon, silk, prolene, steel |
Monofilament: Nylon, prolene, PDS Multifilament: braided (vicryl), twisted (silk) |
Natural: Silk, catgut, steel Synthetic: Nylon, PDS |
Classification of needles
| Shape | Point | Body |
|
Straight (subcuticular) |
Cutting Tapered Blunt (bowel surgery) |
Cutting Reverse cuttinh (reduces tissue cut out) Round bodied (bowel anastamosis) |