suture info

Question 1

• better knot security & less memory (less likely to kink or curl)

Answer 1

braided suture

Question 2

• less resistance through tissue
• ties down easily but crushing or crimping may weaken

Answer 2

monofilament

Question 3

breaks down through enzymatic process
ex: catgut

Answer 3

natural absorable sutures

Question 4

• breaks down via hydrolysis
• ex: dexon, vicryl, PDS, Maxon

Answer 4

synthetic absorbable sutures

Question 5

• ## reduces risk of FB reaction

Answer 5

Absorbable sutures

Question 6

• better holding power
• more give with significant edema/swelling
• less reactive in short term so better scar

Answer 6

permanent suture

Question 7

Uses: skin closure, subQ tissue, sometimes for ophthalmic surgery, plastic or reconstructive surgery
Triangular point with cutting edge on the inner curvature and precision-honed for added sharpness

Answer 7

Precision Conventional Cutting– triangle with line in middle sign

Question 8

• Triangular point with cutting edge on the outer curvature
• Skin closure, ligamentous or fibrous tissues

Answer 8

reverse cutting– empty upside down triangle

Question 9

• Triangular point with cutting edge on the outer curvature and precisioned for added sharpness
• plastics in delicate procedures

Answer 9

precision reverse cutting

Question 10

• Round shaft, straight or curved, taper point with no cutting edge
• soft tissue, GI, vascular

Answer 10

taper point– shaded circle with another circle around it

Question 11

• four cutting edges with taper shaft for penetration through tough tissue

Answer 11

• taper cutting– circle surrounding upside triangle with line in middle

Question 12

• Spatula needle with the cutting edge on the inner or outer curvature
• optho and microsurgery

Answer 12

spatula– upside down trapezoid with upside down Y inside

Question 13

a filled in upright triangle means..

Answer 13

cutting edge

Question 14

a filled in circle means

Answer 14

tapered point– used more under the skin or for first pass above the skin

Question 15

Polyamide (nylon)
polyester (dacron)
polypropelene (prolene)

Answer 15

non absorbale synthetic suture

Question 16

what part of the needle should you grab with the needle driver

Answer 16

body

Question 17

skin closure on face..

Answer 17

monofilament non-absorbale (nylon, proline)

Question 18

subQ skin closures elsewhere

Answer 18

monofilament absorbable (monocryl, biosyn)

Question 19

trauma and mobile areas

Answer 19

large diameter, monofilament non-absorbable

Question 20

suture size for small vessels or delicate facial plastic surgery

Answer 20

6-0 and 7-0

Question 21

suture suze for hella tension, closure of muscle layers or repair of bowel

Answer 21

2-0 and 3-0

Question 22

suture size for closing fascia layer in abdomen, joint capsule in knee, hip, deep layer of back surgery

Answer 22

1 or 0 (0 is smaller in this case)

Question 23

suture size for tendons or high tension in orthopedics

Answer 23

2 or 5 (2 is smaller)