Suture Patterns

Question 1

What are the suture pattern classifications?

Answer 1

Question 2

What kind of suture pattern is this?

Answer 2

Interrupted

Question 3

What kind of suture patten is this ?

Answer 3

Continuous

Question 4

Which is interrupted and which is continuous?

Answer 4

A is interrupted
B is continuous

Question 5

What are interrupted patterns? Are they secure? What is important to remember about interrupted patterns? Would you use this in a a long surgery, or in surgery with an unstable patient?

Answer 5

Question 6

What is a continuous pattern? What is important to remember? What is the problem with excessive tension? What can it be used for?

Answer 6

Question 7

How do you do a simple continuous?

Answer 7

Question 8

What is a crucial pattern? When would you use this? What is the benefit of it? How does it affect blood supply? What does it resist? When should you not use it?

Answer 8

Question 9

How do you tie a cruciate pattern?

Answer 9

Question 10

Steps to performing cruciate incision

Answer 10

Question 11

What is a ford interlocking pattern? When is it used? What is the benefit? What is its effect on blood supply? What are potential complications? Is it used a lot in small animal?

Answer 11

Question 12

What is ford interlocking similar to?

Answer 12

Question 13

How do you perform a ford interlocking?

Answer 13

Question 14

What is an intradermal pattern? What is the pattern classification? What occurs to the suture at the end of the pattern? What is its impact on blood supply.

Answer 14

Question 15

How do you bury the knot in the beginning of intradermal suturing?

Answer 15

Question 16

How do you bury the knot at the end of intradermal suture patterns?

Answer 16

Question 17

Why is it important to bury the knot in intradermal suture patterns?

Answer 17

Question 18

What kind of closure was used for this wound?

Answer 18

Question 19

How do you perform an intradermal pattern?

Answer 19

Question 20

What are the recommendations for intradermal pattern bites? How is tension adjusted? What must we remember about tissue forceps?

Answer 20

Question 21

What are inverting patterns? When are they typically used? What are the pros? What what are the cons?

Answer 21

Question 22

What is this suture pattern?

Answer 22

Inverting patterns
Examples:
- Cushing
- Lemberg
- Purse string

Question 23

What is this suture pattern?

Answer 23

Ford Interlocking pattern

Question 24

What is this suture pattern?

Answer 24

Cruciate pattern

Question 25

What are the hollow organs of the body?

Answer 25

- Bladder - Gall bladder - Stomach - Intestines - Uterus - Esophagus

Question 26

What is the holding layer of hollow organs?

Answer 26

Tunica Submucosa

Question 27

What are some complications of suturing hollow organs?

Answer 27

- Dehiscence - Calculi/ Stone formation - Adhesion

Question 28

What in the body is known for increased likelihood of adherence? What can occur if this happens?

Answer 28

The omentum likes to adhere to things. We need to be careful since the body can respond by trying to adhere organs together and we do not want that.

Question 29

What can cause calculi/ stone formation in a hollow organ with sutures?

Answer 29

This could be from bacterial components using the suture as a template, and essentially giving it a tract to grow on. *********** EMAIL HER

Question 30

What should you consider when doing Single layer closure?

Answer 30

Partial thickness vs. Full thickness - simple interrupted vs. simple continuous.

Question 31

What may you see some surgeons do in terms of closure choice for the stomach?

Answer 31

1st layer appositional 2nd layer inverting

Question 32

What may you see some surgeons do in terms of closure choice for the Urinary bladder?

Answer 32

1 layer closure : inverting pattern 2 layer closure: ▪ 1st layer = appositional pattern ▪ 2nd layer = inverting pattern

Question 33

What may you see some surgeons do in terms of closure choice for the intestines?

Answer 33

1 layer closure-> appositional pattern

Question 34

What are double layer closures consisting of?

Answer 34

2 layers 1st layer - Inner 2nd layer - outer

Question 35

What is the lembert pattern? what is its pattern classification? Is it full or partial thickness? When can it be used? When is it commonly used?

Answer 35

Question 36

What suture pattern is this?

Answer 36

Lembert pattern

Question 37

How do you perform a lembert pattern suture?

Answer 37

Question 38

What are some general recommendations for a lembert pattern?

Answer 38

Question 39

What is a cushing pattern? What layers does it traverse?

Answer 39

Pattern classification – continuous and inverting ▪ Partial thickness [non-penetrating pattern] ▪ Penetrates the submucosa, but NOT the organs’ lumen

Question 40

What is the most important thing to remember when deciding to preform this patten?

Answer 40

Question 41

When are cushing patterns typically used?

Answer 41

Question 42

How do you preform a cushing pattern?

Answer 42

Question 43

What layers are you going through with a cushing pattern?

Answer 43

submucosal and muscular layers.

Question 44

What is a connell pattern? What layers does it traverse?

Answer 44

▪ Pattern classification – continuous and inverting ▪ Full thickness [penetrating] pattern ▪ Similar to the Cushing pattern, except bites penetrate the lumen

Question 45

If used with 2 layer closure, can you use the connell pattern with any layer?

Answer 45

Question 46

What are the uses for connell patterns?

Answer 46

Question 47

What is the difference between cushing pattern and connell pattern?

Answer 47

The connell pattern is full thickness, while the cushing is partial thickness.

Question 48

What is a purse string pattern? What thickness does it traverse? Where is it used?

Answer 48

Question 49

What are examples of times a purse string may be used?

Answer 49

Hold a feeding tube in place

Question 50

How do you preform a purse string?

Answer 50

Question 51

In a patient with a rectal prolapse, what must you do first before putting in a purse string?

Answer 51

Reduce prolapse manually

Question 52

What is a finger trap suture pattern? How do you preform it?

Answer 52

Question 53

What are everting suture patterns? What is it used for? What is important about healing with these patterns? When are they recommended?

Question 54

What is tension? What can happen if there is too much tension?

Answer 54

Question 55

What are tension relieving patterns? What are they used for?

Answer 55

Question 56

What are examples of tension relieving suture patterns?

Answer 56

Question 57

What is the pattern classification of vertical mattress pattern? What is its effect on blood supply?

Answer 57

Question 58

When is a vertical mattress used?

Answer 58

Question 59

Which has more eversion: Vertical or Horizontal Mattress pattern?

Answer 59

Horizontal has more eversion

Question 60

How do you preform a vertical mattress?

Answer 60

Question 61

What is the pattern classification of horizontal mattress pattern? What is its effect on blood supply?

Answer 61

Question 62

What are the uses of the horizontal mattress pattern?

Answer 62

Stents commonly used

Question 63

How do you complete a horizontal mattress?

Answer 63

Question 64

What is the Near Far, Far Near pattern? What is it a variation of? What should it be used for ?

Answer 64

Question 65

What is the most appropriate pattern for closure of wounds with high tension? What is the benefit of this pattern?

Answer 65

Near far far near far near near far

Question 66

How to preform the far near near far pattern?

Answer 66

Question 67

How to preform the near far far near pattern?

Answer 67

Question 68

How far away should your placement be of a "far" suture be from your incision?

Answer 68

6-8 mm. ideal: ~8mm

Question 69

How far should your placement of a near suture be from your incision?

Answer 69

3-4 mm ideal ~3-4 mm