Difference between revisions of "Sutures"

(Technique)
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==Technique==
 
==Technique==
  
*Horizontal: excess tension, mult parallel lacs
+
*Horizontal Mattress
 
+
**Spreads tension over wound
*Vertical: contraindication to deeps
+
**Useful for high tension wounds
 +
*Vertical Mattress
 +
**Great for wound eversion, closure of both sup and deep layers: contraindication to deeps
  
 
*Types
 
*Types
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== See Also ==
 
== See Also ==
  
Trauma:Wound Management
+
Trauma: [[laceration repair]]
  
 
== Source ==
 
== Source ==

Revision as of 08:09, 5 April 2011

Chart

Area Size Removal
scalp 4o,5o 5-8 days
face 5o,6o 3-5 days
chest/abd 3o,4o 7-10 days
back 3o,4o 12-14 days
upper extrem 4o,5o 8-10 days
lower extrem 3o,4o 8-12 days
foot 3o,4o 10-12 days
joint/extensor surface 3o,4o 10-14 days
joint/felxor surface 4o,5o 8-10 days

+2-3 days for elderly

Technique

  • Horizontal Mattress
    • Spreads tension over wound
    • Useful for high tension wounds
  • Vertical Mattress
    • Great for wound eversion, closure of both sup and deep layers: contraindication to deeps
  • Types
    • Absorbable for deeps
      • Never if high risk for infection
      • Good for hard to reach places (kid's mouth)
    • Vicryl
    • Lasts longer
    • Chromic
      • Faster, good for oral mucosa
    • Braided
      • Stronger but higher infection risk

See Also

Trauma: laceration repair

Source

Lampe