Difference between revisions of "Sutures"

(See Also)
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==Chart==
+
== Chart ==
{| border="1"
+
 
 +
{| border="1" cellpadding="2" cellspacing="0"
 
|-
 
|-
| '''Area'''
+
| <div>'''Area'''</div>
| '''Size'''
+
| <div>'''Percutaneous (Skin)'''</div>
| '''Removal'''
+
| <div>'''Deep (Dermal)'''<br/></div>
 +
| <div>'''Days to Removal'''<br/></div><div>'''(Percutaneous Only)'''<br/></div>
 
|-
 
|-
| scalp
+
| Scalp
| 4o,5o
+
|  
| 5-8 days
+
Staples or 4-0, 5-0 Prolene/Ethilon
 +
 
 +
| 4-0 Vicryl/Chromic Gut<br/>
 +
| 5-8<br/>
 +
|-
 +
| Ear<br/>
 +
|
 +
6-0 Prolene/Ethilon
 +
 
 +
''see note below''
 +
 
 +
| <br/>
 +
| 5-7<br/>
 +
|-
 +
| Eyelid<br/>
 +
|
 +
6-0, 7-0 Prolene/Ethilon
 +
 
 +
''If low on lid, consult ophtho''
 +
 
 +
| <br/>
 +
| 5-7<br/>
 +
|-
 +
| Eyebrow<br/>
 +
| 5-0, 6-0 Prolene/Ethilon<br/>
 +
| 5-0 Vicryl/Chromic Gut<br/>
 +
| 5-7<br/>
 +
|-
 +
| Nose<br/>
 +
|
 +
6-0 Prolene/Ethilon
 +
 
 +
''see note below''
 +
 
 +
| 5-0 Vicryl/Chromic Gut
 +
| 5-7<br/>
 +
|-
 +
| Lip<br/>
 +
| 6-0 Prolene/Ethilon
 +
| 5-0 Vicryl/Chromic Gut
 +
| 5-7<br/>
 +
|-
 +
| Oral mucosa<br/>
 +
| <br/>
 +
| <br/>
 +
| <br/>
 
|-
 
|-
| face
+
| Face
 
| 5o,6o
 
| 5o,6o
 +
| <br/>
 
| 3-5 days
 
| 3-5 days
 
|-
 
|-
| chest/abd
+
| Chest/abdomen
 
| 3o,4o
 
| 3o,4o
 +
| <br/>
 
| 7-10 days
 
| 7-10 days
 
|-
 
|-
| back
+
| Back
 
| 3o,4o
 
| 3o,4o
 +
| <br/>
 
| 12-14 days
 
| 12-14 days
 
|-
 
|-
| upper extrem
+
| Upper extremity
 
| 4o,5o
 
| 4o,5o
 +
| <br/>
 
| 8-10 days
 
| 8-10 days
 
|-
 
|-
| lower extrem
+
| Lower extremity
 
| 3o,4o
 
| 3o,4o
 +
| <br/>
 
| 8-12 days
 
| 8-12 days
 
|-
 
|-
| foot
+
| Foot
 
| 3o,4o
 
| 3o,4o
 +
| <br/>
 
| 10-12 days
 
| 10-12 days
 
|-
 
|-
| joint/extensor surface
+
| Joint (extensor surface)
 
| 3o,4o
 
| 3o,4o
 +
| <br/>
 
| 10-14 days
 
| 10-14 days
 
|-
 
|-
| joint/felxor surface
+
| Joint (flexor surface)
 
| 4o,5o
 
| 4o,5o
 +
| <br/>
 
| 8-10 days
 
| 8-10 days
 
|}
 
|}
  
+2-3 days for elderly
+
[[Image:|709x452px]]
  
==Technique==
+
== Technique ==
  
 
*Horizontal Mattress
 
*Horizontal Mattress
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== See Also ==
 
== See Also ==
 +
 
[[Laceration Repair]]
 
[[Laceration Repair]]
  
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Lampe
 
Lampe
  
 +
<br/><br/>
  
 
+
[[Category:Trauma]] <br/>
[[Category:Trauma]]
 

Revision as of 12:41, 6 July 2011

Chart

Area
Percutaneous (Skin)
Deep (Dermal)
Days to Removal
(Percutaneous Only)
Scalp

Staples or 4-0, 5-0 Prolene/Ethilon

4-0 Vicryl/Chromic Gut
5-8
Ear

6-0 Prolene/Ethilon

see note below


5-7
Eyelid

6-0, 7-0 Prolene/Ethilon

If low on lid, consult ophtho


5-7
Eyebrow
5-0, 6-0 Prolene/Ethilon
5-0 Vicryl/Chromic Gut
5-7
Nose

6-0 Prolene/Ethilon

see note below

5-0 Vicryl/Chromic Gut 5-7
Lip
6-0 Prolene/Ethilon 5-0 Vicryl/Chromic Gut 5-7
Oral mucosa



Face 5o,6o
3-5 days
Chest/abdomen 3o,4o
7-10 days
Back 3o,4o
12-14 days
Upper extremity 4o,5o
8-10 days
Lower extremity 3o,4o
8-12 days
Foot 3o,4o
10-12 days
Joint (extensor surface) 3o,4o
10-14 days
Joint (flexor surface) 4o,5o
8-10 days

[[Image:|709x452px]]

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

Laceration Repair

Source

Lampe