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| == Chart ==
| | #REDIRECT[[Laceration repair]] |
| {|
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| {| class="wikitable sortable"
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| |+ Suture Usage
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| |-
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| ! scope="col" |'''Area'''
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| ! scope="col" |'''Size'''
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| ! scope="col" |'''Type'''
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| ! scope="col" |'''Days to Removal'''
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| |-
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| | Scalp||Staples or 4-0 or 5-0||non absorable||7
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| |-
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| | Ear||6-0||non absorable||5-7
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| |-
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| | Eyelid||6-0 or 7-0||absorable or nonabsorbable||5-7
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| |-
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| | Eyebrow||5-0 or 6-0||absorable or nonabsorbable||5-7
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| |-
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| | Nose||6-0 ||absorable or nonabsorbable||5-7
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| |-
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| | Lip||6-0||absorable||NA
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| |-
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| | Oral mucosa||5-0||absorable||NA
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| |-
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| | Other face / forehead||6-0||absorable or nonabsorbable||5
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| |-
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| | Chest/abdomen||4-0 or 5-0||non absorable||12-14
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| |-
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| | Back||4-0 or 5-0||non absorable||7-10
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| |-
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| | Extremities||4-0 or 5-0||non absorable||7-10
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| |-
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| | Hand||5-0||non absorable||7-10
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| |-
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| | Foot / Sole||4-0||non absorable||12-14
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| |-
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| | Joint (Extensor)||4-0||non absorable||10-14
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| |-
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| | Joint (Flexor)||4-0||non absorable||7-10
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| |-
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| | Vagina||4-0||absorable||NA
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| |-
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| | Penis||5-0||non absorable||7-10
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| |-
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| | Scrotum||5-0||non absorable||7-10
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| |}
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| | |
| '''Note: consider use of Fast Absorbing Gut (5-0/6-0) on Ear, Eyelid, Eyebrow, Nose, Lip and Face if anticipated difficulty with suture removal'''
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| '''Note: Favor absorable sutures for facial repair especially in children'''
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| | |
| {| class="wikitable sortable"
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| |+ Absorbable Sutures
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| |-
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| ! scope="col" | '''Suture Type'''
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| ! scope="col" | '''Days of Tensile Strength'''
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| ! scope="col" | '''Complete Absorption'''
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| ! scope="col" | '''Descriptions'''
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| |-
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| | Chromic Gut||7-21 days||90 days||Chromium treated to decrease tissue reactivity
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| |-
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| | Vicryl (Polyglactin)||21 days||90 days||Synthetic
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| |-
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| | Vicryl Rapid||10 days||42 days||Synthetic with radiation treatment for increased absorption
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| |}
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| | |
| {| class="wikitable sortable"
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| |+ Non Absorbable Sutures
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| |-
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| ! scope="col"|'''Suture Type'''
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| ! scope="col"|'''Tensile Stength'''
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| ! scope="col"|'''Body Reactivity'''
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| ! scope="col"|'''Filliment'''
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| |-
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| | Nylon||High||Low||Monofilament
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| |-
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| | Silk||Low||High||multifilament
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| |-
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| | Prolene (Polypropylene)||Moderate||Low||Monofilament stiff
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| |}
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| == Technique ==
| |
| | |
| *Horizontal Mattress
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| **Spreads tension over wound
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| **Useful for high tension wounds
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| *Vertical Mattress
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| **Great for wound eversion, closure of both sup and deep layers: contraindication to deeps
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| ==Types==
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| *Absorbable
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| **Use for deep sutures
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| **Never place if high risk for infection
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| **Good for hard to reach places (e.g. kid's mouth)
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| **Types
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| ***Vicryl
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| ****Lasts longer
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| ***Chromic
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| ****Faster, good for oral mucosa
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| **Braided
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| ***Stronger but higher infection risk
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| == See Also ==
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| [[Laceration Repair]] | |
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| == Source ==
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| Tajirian Ani et al. A review of sutures and other skin closure materials Cosmet Laser Ther. 2010 Dec;12(6):296-302.
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| [[Category:Trauma]]
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