Chapter 19 Suture Flashcards
1
Q
Sutures materials are used to _________ tissues and to lígate blood vessels or tubal structures while healing takes place.
A
Approximate
2
Q
The term _______ can refer to a length of suturing thread or a suture thread and needle combination
A
Suture
3
Q
Suture materials in the U.S. must be approved by the ?
A
FDA ( U.S. Food and drug administration) and the USP (Pharmacopoeia)
4
Q
A single continuous fiber made by extruding and stretching a synthetic material
A
Monofilament
5
Q
Many filaments together form one strand of suture.
A
Multifilament
6
Q
A multifilament suture in turn is divided into two types:
A
Twisted and braided
7
Q
Multiple fibers are twisted in the same direction
A
Twisted
8
Q
Multiple fibers are intertwined
A
Braided
9
Q
A core strength of one suture material is jacketed with another of a different or at the same type
A
Composite or coated
10
Q
Size 2 thicker than size 0 true or false?
A
True
11
Q
The amount of force needed to break the suture
A
Tensile strength
12
Q
Sutures must be ______ and diameter to maintain tensile strength 
A
Uniform
13
Q
Sutures made of multifilament strands absorb moisture and hold body fluids are called
A
Wicking or capillary action
14
Q
Sutures with _____ are preferred in procedures in which the risk of infection is high
A
Low capillarity
15
Q
Is the ease of handling or softness in the hand
A
Compliance or pliability
16
Q
Makes the suture material easier to manipulate
A
Pliability
17
Q
______ sutures have traditionally been considered the gold standard all suture materials for their playability, tight knots and ease of use
A
Silk suture
18
Q
Describes the suture tendency to retain its original shape or configuration after it is removed from the package
A
Memory
19
Q
Refers to the materials, ability to stretch and retain a new shape
A
Plasticity
20
Q
Can be advantageous as long as the suture retains his strength and stretched
A
Elasticity
21
Q
______ sutures have high plasticity
A
Polypropylene
22
Q
Is the bodies response to suture
A
Bioactivity
23
Q
Sutures that cause little or no bioactivity are said to be highly _____ causing little or no inflammation
A
Inert
24
Q
Some suture materials, such as those made of collagen are ( nonabsorbable, or absorbable)
A
Absorbed very quickly
25
Critical nature of the tissue, such as the heart, blood vessels and certain structures of the respiratory tract require
Non-absorbable suture
26
Healing time non-critical tissue that heals very quickly are (absorbable or non-observable?) Examples are mouth and other mucosal tissue, subcutaneous tissue and a tissue.
Absorbable
27
Requires strength during healing some tissues usually connective tissues are on the high stress in the body. (non-absorbable or absorbable suture)
Examples are abdominal fascia, tendon, and ligament
Nonabsorbable suture or suture and larger sizes
28
scar formation: repair of structures of the hands, such as tendon and nerve requires
Inert suture materials
29
Internal structures of the eye requires
Inert suture
30
Stainless steel, nylon and poly propylene are the most ______ ?
Inert
31
urinary tract : absorbable or nonabsorbable?
Absorbable
32
Cosmetic closure
Monofilament
33
Surgical needles are made from high-quality
Steel alloy, or titanium
34
Surgical needles have three distinct parts:
The point, the body, and the eye (swage)
35
A ______ is one in which the suture can be detached from the needle by pulling it straight, straight back from the swage.
Detachable suture
36
The _________sutures are used when the surgical procedure calls for rapid placement of multiple interrupted, individually tied sutures, such as during __________.
Detachable / anastomosis
37
A ________ is one with a needle swaged to each end. This type of suture is used for circular incisions, such as in ophthalmic surgery or for hollow lens, such as blood vessels or intestine
Double armed suture
38
Resembles a sewing needle, but is round in shape and eye hole is round, rectangular or square
Closed eye needle
39
When this needle is threaded, the end of the suture is pressed down over the top of the spring, which causes it to snap into the eye, the suture should not be pulled through the eye after it is placed because the strips the suture, and may break it.
The French eye or spring eye
40
Surgical gut: PLAIN, CHROMIC GUT
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Natural- protein collagen beef or sheep
-Absorbable
-Monofilament or braided
-Plain gut yellow Chromic gut tan, or brown 
Mucus membrane, especially the oral cavity
41
Polyglactin 90: VICRYL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Synthetic
-Absorbable short term use
-Braided, monofilament
-Soft tissue, ligation, ophthalmic, OB/GYN, general surgery
42
Polyglyconate: MAXON
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Synthetic
-Absorbable medium term
-Monofilament
-General, OB/GYN
43
Polydioxanone: V LOK
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Synthetic
-Absorbable short to medium term
-Monofilament, barbed
-General soft tissue, pediatric cardiovascular tissue, microsurgery, orthopedic surgery
44
NYLON
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Synthetic
-Non-absorbable degrades overtime
-Monofilament or braided
-Intestine, vascular system, ophthalmic and neurosurgical
45
SILK
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Natural fibers, spun by silkworm
-Non-absorbable the grades overtime
-Braided twisted available coated
-Intestine, vascular system, ophthalmic, neurosurgical
46
POLYESTER
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-Synthetic
-Permanent
-Braided and coated
-Cardiovascular and orthopedic
47
POLYPROPYLENE
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-synthetic
-non-absorbable permanent
-Monofilament
-plastic surgery, cardiovascular, neurological, ophthalmic
48
POLYBUSTER: NOVAFIL/ VASCUFIL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-synthetic
-non-absorbable permanent
-Monofilament
-General and cardiovascular
Ps. NOVAFIL is uncoated vs Vascufil is coated to reduce tissue drag
49
STAINLESS STEEL
Composition: ?
Absorbability: ?
Structure: ?
Primary use: ?
-still alloy
-non-observable permanent
-Monofilament
-Orthopedic surgery, maxillofacial procedures
50
This needle does not puncture the tissue, but rather slides between tissue fibers its the least traumatic and safest needlepoint
Blunt Needle
51
Punctures tissue, making an opening for the body of the needle to follow. it’s primary use is for suturing soft tissue, such as muscle, subcutaneous fat, peritoneum, dura and gastrointestinal, Biliary and vascular tissue
Tapered needle
52
This type of needle is used on fibrous connective tissue, such as the skin, joint capsule, and tendon
Cutting needle
53
The cutting edge on the outside of the curve away from the direction of tension during suturing, it is stronger than the conventional cutting needle and produces minimal scarring
Reverse cutting needle
54
Are used for suturing, dense, fibrous, connective tissue, such as the fascia, tendon and periosteum
Taper cut needle
55
This needle is side, cutting with a flat surface on the top and the bottom
Spatula needle
56
The ______ has a knot at the beginning, and at the end. The needle is alternated from one side of the tissue edge to the other, as one would when sewing 
The continuous or running suture
57
The ______ provides added strength to a running suture line.As the needle is passed through each side of the wound edges. It is past underneath one loop.
The locking stitch
58
Contains intermitted projections that grip tissue in one direction not allowing the suture to back out
Self locking or barbed suture ( V LOK SUTURE)
59
Is a type of running suture used for cosmetic closure, and in pediatric patients the needle is placed within the dermis from side to side
Subcuticular suture, or buried suture
60
Special continuous suture technique for closing the end of a tubular structure lumen such as the appendix, its most common application. (When stitches are placed around)
The purse string suture
61
Individually placed, nodded and cut. The finish suture line is very strong, because the tension of the wound edges is distributed over many anchor points.
Interrupted suture
62
Provides extra security to the suture line
Buried interrupted suture, and mattress sutures
63
A type of interrupted technique used to provide additional support to wound edges in abdominal surgery
Retention suture
64
Are pre-cut length of suture used to locate a bleeding vessel called a bleeder
Suture ties
65
Is used to locate a large bleeding vessel. The purpose of the technique is to prevent the ligator from sliding off the vessel.
Suture ligator
66
Hemostat placed at the end of a suture tie or ligator
Suture tag
67
Are placed in tissue to provide retraction
Traction suture
68
Places two sponges on incision site
Surgical tech
69
Passes marking, pen, or scalpel to surgeon
Surgical tech
70
Gives retractors to assistant after skin incision
Surgical tech
71
Participates in all instruments, sponge and needle count with circulator
Surgical tech
72
Passes equipment to surgeon and assistance, using correct orientation and technique
Surgical tech
73
This is for direction and anticipates each step of the surgery
Surgical tech
74
Maintain a field modifying others when sterile technique is broken
Surgical tech
75
Deposits, soiled sponges, and designated receptacle
Surgical tech
76
Maintain a safe surgical field by exercising all precautions when electro surgical devices, lasers and sharps are in use
Surgical tech
77
Request additional equipment as needed
Surgical tech
78
Secures, intraoperative, tissue and fluid specimens delivered by the surgeon
Surgical tech
79
Obtain graphs and implants as required by the surgery
Surgical tech
80
Prepare dressings and begins to separate soiled from clean instruments
Surgical tech
81
Participates in final instruments, sponge, and needle count
Surgical tech
82
Notifies the surgeon, if count is incorrect if count is incorrect searches for missing item
Surgical tech
83
Apply sterile dressings as directed by surgeon
Surgical tech
84
Maintains the sterility until patient leaves the room
Surgical tech
85
Keep basic instruments on mayo stand in case of emergency. Prepares instruments on back table for the contamination.
Surgical tech
86
Mark’s incision area or begins skin incision
Surgeon
87
Perform surgery according to plan and intraoperative events
Surgeon
88
Direct the surgical team during emergency
Surgeon
89
If count is incorrect, and missing, item is not found takes responsibility for further action (x-ray, reopening of wound)
Surgeon
90
Remove gown and gloves, signed patient care documents, and gives any instructions to RN and ACP
Surgeon
91
Assist and transferring patient to gurney
Surgeon
92
Records time of incision on patient record
Nurse
93
Distributes sterile solutions and medications to scrubbed person
Nurse
94
Provides additional equipment as needed by the surgical tech and surgeon
Nurse
95
Operates nonsterile equipment 
Nurse
96
Adjust lighting
Nurse
97
Flash sterilizes instruments as needed
Nurse
98
Answer surgeons pages and relays messages
Nurse
99
Anticipates flow of surgery and equipment needs of surgeon and surgical tech
Nurse
100
Monitors urinary output
Nurse
101
Directs instruments, sponge, and needle counts at appropriate times
Nurse
102
Labels specimens obtained from the scrubbed person for the pathology department
Nurse
103
Wearing gloves, separates sponges and places them in counting area or isolates them, and groups of five or 10
Nurse
104
Maintain safe environment keep doors closed, maintain quiet
Nurse
105
Replaces equipment that is unsafe or malfunctions
Nurse
106
Assesses the patient’s physical status, and assist ACP as needed
Nurse
107
Removes dispersive electrode pad and assesses site
Nurse
108
completes intraoperative record
Nurse
109
Accompanies patient and ACP to post operative recovery unit and gives report to PACU nurse
Nurse
