Percutaneous closure — The simple interrupted suture is the most common method used to close most small, uncomplicated, traumatic skin lacerations [1,14,15]. For proper healing, the edges of the wound must be everted by each stitch.

What is the best suture for skin suturing?

It is generally accepted that if one uses sutures to repair an uncomplicated laceration, the best choice is a monofilament non-absorbable suture. Monofilament synthetic sutures have the lowest rate of infection [2]. Size 6-0 is appropriate for the face.

What are the 3 types of sutures?

• Continuous sutures. This technique involves a series of stitches that use a single strand of suture material. …
• Interrupted sutures. This suture technique uses several strands of suture material to close the wound. …
• Deep sutures. …
• Buried sutures. …
• Purse-string sutures. …
• Subcutaneous sutures.

What is the most common type of suturing for the skin?

Simple interrupted suture: It is the most common and simple form of suturing technique. The suture is placed by inserting the needle perpendicular to the epidermis. Inserting it perpendicularly helps in a wider bite of deeper tissue to be included in the suture than at the surface leading to rapid wound healing.

Can Vicryl be used for skin closure?

Vicryl should not be used on skin as interrupted as it can break up during healing leading to retained segments. Silk has excellent knotting and friction characteristics and therefore is them most easiest to apply as interrupted sutures with good cosmetic outcome.

When do you use Vicryl sutures?

Coated Vicryl is indicated for use in ligation or general soft tissue approximation. Vicryl Rapide is indicated only when short-term wound care is needed and for use in superficial soft tissue suturing.

What is Ethilon suture used for?

ETHILON Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.

What is Monocryl used for?

It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture. It is generally used for soft-tissue approximation and ligation. It is used frequently for subcuticular dermis closures of the face. It has less of a tendency to exit through the skin after it breaks down, such as Vicryl.

What is a subcutaneous suture?

The running subcutaneous suture is used to close the deep portion of surgical defects under moderate tension. It is used in place of buried dermal sutures in large wounds when a quick closure is desired.

What are blue sutures?

Polypropylene sutures are blue colored for easy identification during surgery. Polypropylene sutures have excellent tensile strength and are used for orthopaedic, plastic and micro surgeries, general closure and cardiovascular surgeries. Polypropylene sutures are popularly known as Prolene sutures.

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What is Ethibond suture?

ETHIBOND EXCEL Suture is a nonabsorbable, braided, sterile, surgical suture composed of Poly (ethylene terephthalate). It is prepared from fibers of high molecular weight, long-chain, linear polyesters having recurrent aromatic rings as an integral component.

What type of suture needle should be used for skin and sternum?

Round bodied needles are used in friable tissue such as liver and kidney. Cutting needles are triangular in shape, and have 3 cutting edges to penetrate tough tissue such as the skin and sternum, and have a cutting surface on the concave edge.

What is the difference between Monocryl and Vicryl?

Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks.

What is dermabond used for?

Dermabond is a cyanoacrylate tissue adhesive that forms a strong bond across apposed wound edges, allowing normal healing to occur below. It is marketed to replace sutures that are 5-0 or smaller in diameter for incisional or laceration repair.

What is polyamide suture?

Polyamide suture is a monofilament non-absorbable, sterile surgical suture composed is a macromolecule with repeating units linked by amide bonds. Polyamide is synthesized by ring opening polymerization of caprolactam. Caprolactam has 6 carbons, hence the name ‘Nylon 6’.

What type of suture is Surgilon?

Surgilon™ Braided Nylon Sutures.

When do you use polyester sutures?

Polyester Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.

Is silk suture monofilament or multifilament?

MaterialNon-absorbableMultifilamentPolyester/DacronSilkMonofilamentNylon 6Polypropylene

How do you choose a suture?

1. Type and anatomic location of the wound.
2. Thickness of the skin.
3. Degree of tension.
4. Desired cosmetic result.

Is chromic suture absorbable?

Plain, Mild, and Chromic Gut sutures are absorbable sterile surgical sutures composed of purified connective tissue (mostly collagen) derived from the serosal layer of beef (bovine) intestines.

What is Polyglyconate suture?

The Polyglycolic Acid suture is an absorbable braided multifilament surgical suture with synthetic coating, of greater tensile strength, a longer period of absorption and which results in very little inflammatory reaction. It is degraded by Chemical Hydrolysis, and is absorbed and metabolized by the human body.

Is silk suture absorbable?

While it’s considered to be a non-absorbable, silk sutures do degrade in about two years. Its soft structure is comfortable for patients and makes it gentle on delicate tissues.

What color is Vicryl suture?

Absorbable By hydrolysis. Absorption of VICRYL* Suture is essentially complete between 56 and 70 days. All of the original tensile strength is lost by five weeks post implantation. Colour Violet or undyed.

What is Dacron suture?

Dacron is a polymer of ethylene glycol and terephthalic acid. A number of experimental studies have demonstrated that it has good qualities for suture material and synthetic grafts. 1-5.

What is FiberWire suture?

FiberWire® suture is constructed of a multi-strand, long chain ultra-high molecular weight polyethylene (UHMWPE) core with a braided jacket of polyester and UHMWPE that gives FiberWire superior strength, soft feel and abrasion resistance that is unequaled in orthopaedic surgery.

What is FiberWire used for?

FiberWire® is the first suture on the market to offer a collagen coated option. Suture breakage during knot tying is virtually eliminated, which is especially critical during arthroscopic procedures. FiberWire’s strength and reliability represents a major advancement in orthopaedic surgery.

What is multifilament suture?

Multifilament suture material is composed of several filaments twisted or braided together. It generally has greater tensile strength and better pliability and flexibility than monofilament suture material, and it handles and ties well.

What is suture pliability?

Pliability – Ease of handling of suture material; ability to adjust knot tension and to secure knots (this is related to suture material, filament type, and diameter)

What kind of needle would be used on the skin?

Needlepoint type is selected based on the particular tissue type where they are used. A conventional cutting needle is used for tough tissue, such as skin, whereas a reverse cutting needle is selected to reduce the risk of tissue cutout.

Is Maxon suture absorbable?

Maxon™ synthetic absorbable sutures are prepared from polyglyconate, a copolymer of glycolic acid and trimethylene carbonate. The advanced extrusion process of the molecule of polyglyconate gives the suture: Excellent in-vivo strength retention. Excellent knot tying security.