|
|
(24 intermediate revisions by 5 users not shown) |
Line 1: |
Line 1: |
| == Chart ==
| | #REDIRECT[[Laceration repair]] |
| | |
| {| class="wikitable sortable"
| |
| |+ Suture Usage
| |
| |-
| |
| ! scope="col" |'''Area'''
| |
| ! scope="col" |'''Size'''
| |
| ! scope="col" |'''Type'''
| |
| ! scope="col" |'''Days to Removal'''
| |
| |-
| |
| | Scalp||Staples or 4-0 or 5-0||non absorable||7
| |
| |-
| |
| | Ear||6-0||non absorable||5-7
| |
| |-
| |
| | Eyelid||6-0 or 7-0||absorable or nonabsorbable||5-7
| |
| |-
| |
| | Eyebrow||5-0 or 6-0||absorable or nonabsorbable||5-7
| |
| |-
| |
| | Nose||6-0 ||absorable or nonabsorbable||5-7
| |
| |-
| |
| | Lip||6-0||absorable||NA
| |
| |-
| |
| | Oral mucosa||5-0||absorable||NA
| |
| |-
| |
| | Other face / forehead||6-0||absorable or nonabsorbable||5
| |
| |-
| |
| | Chest/abdomen||4-0 or 5-0||non absorable||12-14
| |
| |-
| |
| | Back||4-0 or 5-0||non absorable||7-10
| |
| |-
| |
| | Extremities||4-0 or 5-0||non absorable||7-10
| |
| |-
| |
| | Hand||5-0||non absorable||7-10
| |
| |-
| |
| | Foot / Sole||4-0||non absorable||12-14
| |
| |-
| |
| | Joint (Extensor)||4-0||non absorable||10-14
| |
| |-
| |
| | Joint (Flexor)||4-0||non absorable||7-10
| |
| |-
| |
| | Vagina||4-0||absorable||NA
| |
| |-
| |
| | Penis||5-0||non absorable||7-10
| |
| |-
| |
| | Scrotum||5-0||non absorable||7-10
| |
| |}
| |
| | |
| '''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'''
| |
| | |
| '''Note: Favor absorable sutures for facial repair especially in children'''
| |
| | |
| == 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==
| |
| {| class="wikitable sortable"
| |
| |+ Absorbable Sutures
| |
| |-
| |
| ! scope="col" | '''Suture Type'''
| |
| ! scope="col" | '''Days of Tensile Strength'''
| |
| ! scope="col" | '''Complete Absorption'''
| |
| ! scope="col" | '''Descriptions'''
| |
| |-
| |
| | Chromic Gut||7-21 days||90 days||Chromium treated to decrease tissue reactivity
| |
| |-
| |
| | Vicryl (Polyglactin)||21 days||90 days||Synthetic
| |
| |-
| |
| | Vicryl Rapid||10 days||42 days||Synthetic with radiation treatment for increased absorption
| |
| |}
| |
| | |
| | |
| {| class="wikitable sortable"
| |
| |+ Non Absorbable Sutures
| |
| |-
| |
| ! scope="col"|'''Suture Type'''
| |
| ! scope="col"|'''Tensile Stength'''
| |
| ! scope="col"|'''Body Reactivity'''
| |
| ! scope="col"|'''Filliment'''
| |
| |-
| |
| | Nylon||High||Low||Monofilament
| |
| |-
| |
| | Silk||Low||High||multifilament
| |
| |-
| |
| | Prolene (Polypropylene)||Moderate||Low||Monofilament stiff
| |
| |}
| |
| | |
| == See Also ==
| |
| | |
| [[Laceration Repair]] | |
| | |
| == Source ==
| |
| | |
| Tajirian Ani et al. ''A review of sutures and other skin closure materials''. Journal of Cosmetic and Laser Therapy. 2010 Dec;12(6):296-302.
| |
| | |
| | |
| [[Category:Trauma]]
| |