Dr jameel miro
This presentation is the property of its rightful owner.
Sponsored Links
1 / 15

Suture material what to choose how to handle PowerPoint PPT Presentation


  • 236 Views
  • Uploaded on
  • Presentation posted in: General

Dr Jameel miro. Suture material what to choose how to handle . Suture Characteristics . Tensile Strength Related to suture size (see below) Related to weight required to break a suture Knot strength Force required for a knot to slip Configuration

Download Presentation

Suture material what to choose how to handle

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Dr jameel miro

Dr Jameelmiro

Suture material what to choose how to handle


Suture characteristics

Suture Characteristics

  • Tensile Strength

    • Related to suture size (see below)

    • Related to weight required to break a suture

  • Knot strength

    • Force required for a knot to slip

  • Configuration

    • Monofilament (less risk of infection)

    • Braided multifilament (easier to handle and tie)

  • Elasticity

    • Degree suture stretches and return to original length

  • Memory or suture stiffness

    • High memory: Suture stiff, difficult handling, unties

  • Tissue reactivity (inflammatory response to suture)

    • Reaction peaks in first 2 to 7 days


Ideal suture material

Ideal suture material

  • The ideal suture material should

    • Have good handling characteristics

    • Not induce a significant tissue reaction

    • Allow secure knots

    • Have adequate tensile strength

    • Not cut through tissue

    • Be sterile

    • Be non-electrolytic

    • Be non-allergenic

    • Cheap and sterile


Choice of a suture

Choice of a suture

  • Choice of suture depends on:

    • Properties of suture material

    • Absorption rate

    • Handling characteristics and knotting properties

    • Size of suture

    • Type of needle


Classification of sutures

Classification of Sutures


Absorbable

Advantages

Broken down by body

No foreign body left

Disadvantages

Consideration of wound support time

Absorbable


Non absorbable

Advantages

Permanent wound Support

Disadvantages

Foreign body left

Suture removal can be costly and inconvenient

Sinus & Extrusion if left in place

Non - Absorbable


Ethicon absorbable sutures

ETHICON Absorbable Sutures

Wound Support

Mass Absorption

Typical Uses

  • Skin

  • Perineum

  • Orals

VICRYL* rapide

10 days

By 42 days

  • Ligature

  • Mucosa

  • Obstetrics

  • Bowel

  • Skin

20 days

90 - 120 days

MONOCRYL*

  • Ligature

  • General

  • Bowel

  • Ophthalmic

Coated VICRYL*

30 days

56 - 70 days

Coated VICRYL* Plus Antibacterial Suture

  • Ligature

  • General

  • Bowel

  • Orthopaedics

30 days

56 - 70 days

  • Traumatology

  • Ligaments

  • Fascia

  • Vessel anastomosis

60 days

180 - 210 days

PDS* II


Anatomy of a surgical needle

Anatomy of a Surgical Needle


Use of needle holders

Use of Needle Holders

Loading Needle

Needle passing through skin


Needle shapes

Needle Shapes

  • Nasal cavity

  • Nerve

  • Skin

  • Tendon

  • Eye

  • Microsurgery

  • Dura

  • Eye

  • Fascia

  • Nerve

  • Eye (Anterior

  • segment)

  • Muscle

  • Eye

  • Skin

  • Peritoneum

  • Laparoscopy

  • Cardiovascular

  • Oral

  • Pelvis

  • Urogenital tract


Suture material what to choose how to handle

Round Bodied Needles

  • TAPERPOINT


Suture material what to choose how to handle

Cutting Needles

  • Conventional Cutting

  • Reverse Cutting

  • PRIME

  • P Needle


Suture material what to choose how to handle

Packaging…

Imperial Gauge

Product (re-order) Code

Metric Gauge

Needle size

& curvature

Needle type

Needle point

Needle profile

Batch Number

Do Not Re-use

Sterilised

Ethylene Oxide

Expiry date

See Instructions foruse


Suture material what to choose how to handle

Don’t forget to

Practice

Thank you


  • Login