Sutures

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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