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Terminologies:
Suture – any materials used to sew, stitch or hold tissue together until healing occurs.
Ligature – commonly known as tie, is a material that is tied around a blood vessel to occlude the lumen.
Primary Suture line – refer to the main layers of the tissue which must be stitched in closing an incision.
Stay or Tension Sutures – sutures placed in an incision as a secondary measure of reinforcement where
coughing or undue pressure or strain may cause the incision to separate.
Tensile Strength – the amount of tension of pull that strand will withstand before in breaks when knotted.
Suture Ligature – a ligature which is threaded on a needle
Uses of a Suture:
• To tie off a clamped vessels to prevent bleeding.
• To approximate tissue until healing is complete.
Types of Suture:
Absorbable
– these sutures are digested by body enzymes during the wound healing
– process. The most commonly used absorbable sutures are surgical gut (catgut) collagen and
synthetic
Non-absorbable
– this is collagen derived from the submucosa of sheep intestines or the serosa of beef intestines.
It is digested by body enzymes and absorbed by
– tissues; thus no permanent foreign body remains. The rate of absorption is influenced by:
Types of Surgical Gut
Surgical Gut – this is collagen derived from the submucosa of sheep intestines or the serosa of beef
intestines. It is digested by body enzymes and absorbed by tissues; thus no permanent foreign body remains.
2.Vicryl
Non-Absorbable Sutures
These sutures are made from various materials that are not affected by the digesting enzymes. They
remain encapsulated when buried in tissues and in removed post-operatively when used as skin suture.
1.Silk
• Not a true non-absorbable material
• Loss much of its tensile strength after about 1 year and usually disappear after 1-2 or
more years.
• Gives good support to wound during early ambulation and generally promotes healing a
little more rapidly than surgical gut.
• Used frequently in serosa of the gastrointestinal tract and close fascia in the absence of
infection.
• May be used in anastomosing major vessels, especially in your children.
• Kinds:
1. surgical silk
2. virgin silk
3. derma silk
• Loss its tensile strength if wet, therefore do not moisten before use.
• Black color
2.Surgical Cotton
a. One of the weakest the non-absorbable material, but gains tensile strength when wet. Therefore,
moisten it before handling to the surgeon. Tensile strength is increased by 10% by moisture. Moisture prevents
clinging to the surgeon’s gloves .
b. May be used in most body tissue for ligating and suturing but it offers no advantages over silk.
3.Dacron
4.Nylon
5.Polythylene
6.Li-cron
7.Havdek
8.Stainless steel