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Flashcards in Sutures Deck (6)
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1
Q

Simple Interrupted

A
  • Non-absorbable suture for skin closure
  • Preferred suture technique for lacerations
  • Allows for drainage between each stitch
  • Rule of Halves
  • Non-absorbable (3-0, 4-0, 5-0 Nylon) and removed in 5-8 d
2
Q

Vertical Mattress

A
  • Far-Far/Near-Near
  • Backloading
  • Non-absorbable for skin closure
  • Deep wounds of high tension (Joints, Knees, Elbows)
  • Rule of Halves
3
Q

Horizontal Mattress

A
  • Backloading
  • Used for wounds through the dermis layer in high tension areas of natural inversion
  • Rule of Halves
  • Non-absorbable suture
4
Q

Continuous Running

A
  • Fascia and peritoneal closure
  • DO NOT USE if risk of hematoma
  • Absorbable suture
  • Start knot, loop end opposite site
5
Q

Inverted Interrupted

A
  • Absorbable suture
  • Used to close “dead space”
  • Used to short skin incisions (laparoscopic port sites and pediatric incisions)
  • Rule of Halves
  • Stay within subcutaneous or subcuticular tissue
  • Deep-superficial/superficial-deep
  • Cover with steri strips
6
Q

Running Subcuticular

A
  • Absorbable suture
  • Can only be used on clean incisional surgical wounds
  • Used for areas of low tension (breast surgery, herni repairs, c-sections, thyroidectomy, pediatric cases)
  • Helps decrease keloids in patients due to reduction in needle holes
  • Starts with inverted interrupted
  • Aberdeen hitch: slip knots without ties