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Home | Principles of Surgery

Sutures / Needles

Characteristics of an ideal suture

Surgeon Patient Healthcare provider
Easy to handle
Secure
Predictable tensile strenght
Predictable absorption
Sterile

Minimal tissue reaction
Minimal trauma

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)
Curved
Special: J-shaped, compound curve

Cutting
Tapered
Blunt (bowel surgery)
Cutting
Reverse cuttinh (reduces tissue cut out)
Round bodied (bowel anastamosis)

 

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