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Wound Closure Manual

Wound Closure Manual

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Published by MoreMoseySpeed

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Published by: MoreMoseySpeed on Nov 09, 2012
Copyright:Attribution Non-commercial

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01/17/2014

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Most surgeons have a basic
"suture routine," a preference for
using the same material(s) unless
circumstances dictate otherwise.
The surgeon acquires skill,
proficiency, and speed in handling
by using one suture material
repeatedly—and may choose
the same material throughout his
or her entire career.

A number of factors may influence
the surgeon’s choice of materials:

• His or her area of specialization.
• Wound closure experience during
clinical training.
• Professional experience in the
operating room.
• Knowledge of the healing
characteristics of tissues and
organs.
• Knowledge of the physical and
biological characteristics of
various suture materials.
• Patient factors (age, weight,
overall health status, and the
presence of infection).

Surgical specialty plays a primary role
in determining suture preference. For
example, obstetrician/gynecologists
frequently prefer coated VICRYL*
RAPIDE(polyglactin 910) suture
for episiotomy repair and coated
VICRYL* (polyglactin 910) suture,
coated VICRYL* PlusAntibacterial
(polyglactin 910) suture and
MONOCRYL* (poliglecaprone 25)
suture for all tissue layers except,
possibly skin. Most orthopaedic
surgeons use coated VICRYL suture,
coated VICRYL Plus, PDS* II
(polydioxanone) suture, and
ETHIBOND* EXCELpolyester
suture. Many plastic surgeons prefer
ETHILON* nylon suture, VICRYL
suture, or MONOCRYL suture.
Many neurosurgeons prefer coated
VICRYL suture or NUROLON*
nylon suture. But no single suture
material is used by every surgeon who
practices within a specialty
.

The surgeon's knowledge of the
physical characteristics of suture
material is important. As the
requirements for wound support vary
with patient factors, the nature of the

THE SUTURE

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procedure, and the type of tissue
involved, the surgeon will select
suture material that will retain its
strength until the wound heals
sufficiently to withstand stress on
its own.

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