How do I choose sutures

Optimal cosmetic results can be achieved by using the finest suture possible, depending on skin thickness and wound tension. In general, a 3–0 or 4–0 suture is appropriate on the trunk, 4–0 or 5–0 on the extremities and scalp, and 5–0 or 6–0 on the face.

How do I know what sutures to use?

Most commonly, you will use a suture somewhere between 3-0 and 6-0. Small sutures, such as 5-0 and 6-0 are used on the face. Larger sutures, 3-0 and 4-0, are best for areas where appearance is not of great concern such as the extremities.

What are the 3 types of sutures?

Continuous sutures. This technique involves a series of stitches that use a single strand of suture material. …
Interrupted sutures. This suture technique uses several strands of suture material to close the wound. …
Deep sutures. …
Buried sutures. …
Purse-string sutures. …
Subcutaneous sutures.

How do you choose suture materials?

The presence of infection and individual wound characteristics may all influence the choice of suture material. Surgeons should aim to select a material that has a high strength to diameter ratio, is of consistent diameter, sterile, pliable, and has optimal tissue acceptance and predictability of performance.

When do you use Vicryl sutures?

Coated Vicryl is indicated for use in ligation or general soft tissue approximation. Vicryl Rapide is indicated only when short-term wound care is needed and for use in superficial soft tissue suturing.

What do the numbers mean on sutures?

Size refers to diameter of the suture strand. the larger the suture diameter, the relatively stronger it is. measured in metric units (tenths of a millimeter) or by a numeric scale standardized by USP regulations. USP scale runs from 11-0 (smallest) to #7 (largest) zeros are written as 2-0 for 00 and 3-0 for 000, etc.

What are blue sutures?

Polypropylene sutures are blue colored for easy identification during surgery. Polypropylene sutures have excellent tensile strength and are used for orthopaedic, plastic and micro surgeries, general closure and cardiovascular surgeries. Polypropylene sutures are popularly known as Prolene sutures.

How deep should sutures be?

The needle should be inserted 1-3 mm from the wound edge, depending on skin thickness. The depth and angle of the suture depends on the particular suturing technique. In general, the two sides of the suture should become mirror images, and the needle should also exit the skin perpendicular to the skin surface.

Which suture is absorbable?

Types of Absorbable sutures include : Polyglycolic Acid sutures, Polyglactin 910 , Catgut, Poliglecaprone 25 and Polydioxanone sutures.

What is the most common suture?

Simple interrupted suture: It is the most common and simple form of suturing technique. The suture is placed by inserting the needle perpendicular to the epidermis. Inserting it perpendicularly helps in a wider bite of deeper tissue to be included in the suture than at the surface leading to rapid wound healing.

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What's the difference between stitches and sutures?

Although stitches and sutures are widely referred to as one and the same, in medical terms they are actually two different things. Sutures are the threads or strands used to close a wound. “Stitches” (stitching) refers to the actual process of closing the wound. However, “suturing” is often used to mean stitching.

What are the 2 types of sutures?

Absorbable vs non-absorbable sutures There are two varieties of sutures: absorbable and non-absorbable. Absorbable sutures do not require your doctor to remove them. The enzymes found in the tissues of your body will naturally digest them.

What is the difference between Monocryl and Vicryl?

Monocryl has identical knot performance compared with Vicryl, similar performance to PDS, and lesser performance compared with Maxon. Monocryl has high initial breaking strength, being superior to chronic gut, Vicryl, and PDS. Monocryl loses 70% to 80% of its tensile strength at 1 and 2 weeks.

When do you use polyester sutures?

Polyester Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.

What is the strongest suture material?

Surgilon provides the most stable strength for general suture techniques. FiberWire is the strongest suture material for a site where a large number of throws is clinically possible. PDS II provides a strong suture when combined with cyanoacrylate reinforcement.

What is a PTFE suture?

Monotex® PTFE is a monofilament non-absorbable, sterile surgical suture composed of a strand of polytetrafluoroethylene, a synthetic fluoropolymer of tetrafluoroethylene. PTFE sutures are white. Monotex® PTFE is an excellent suture choice for dental bone grafting and implant procedures.

What color is nylon suture?

Nylon sutures are monofilament sutures and are remarkably smooth, soft and gives excellent knot security. Nylon sutures are non-absorbable sutures and possess excellent tensile strength. Nylon sutures are available in black colour.

What are silk sutures?

Silk is a natural non-absorbable suture material that has been widely used for wound ligation; it was the most common natural suture, surpassing collagen, used in the biomedical industry during the past 100 years. During the past 25 years, a range of degradable synthetic sutures has dominated the suture market.

What color are absorbable sutures?

Generally absorbable sutures are clear or white in colour. They are often buried by threading the suture under the skin edges and are only visible as threads coming out of the ends of the wound.

Do nylon sutures dissolve?

Polyamide or nylon is the most commonly used non-absorbable suture. It is most often used as a percutaneous suture because of its low tissue reactivity.

Do absorbable sutures need to be removed?

Healthcare professionals often use stitches, or sutures, to close up a wound or a surgical incision. Dissolvable, or absorbable, stitches do not require removal. The body gradually breaks them down, and they disappear over time.

What is the best suture for skin suturing?

It is generally accepted that if one uses sutures to repair an uncomplicated laceration, the best choice is a monofilament non-absorbable suture. Monofilament synthetic sutures have the lowest rate of infection [2]. Size 6-0 is appropriate for the face.

Which suture is best for skin closure?

Percutaneous closure — The simple interrupted suture is the most common method used to close most small, uncomplicated, traumatic skin lacerations [1,14,15]. For proper healing, the edges of the wound must be everted by each stitch.

What are the different sizes of sutures?

USP SIZESIZE IN MM5-0 & 4-00.1 & 0.153-0 & 2-00.2 & 0.30 & 10.35 & 0.42 and above>0.5

What is better staples or stitches?

In general, staples offer a few advantages over stitches, including: Quick placement: Stapling is about three to four times faster than traditional suturing. Fewer Infections: Stapling is associated with lower tissue reaction and a lower risk of infection when compared to stitches.

What is chromic suture made of?

Plain, Mild, and Chromic Gut sutures are absorbable sterile surgical sutures composed of purified connective tissue (mostly collagen) derived from the serosal layer of beef (bovine) intestines. No other animal sources are used to make our Gut sutures.

What does a suture kit contain?

A basic suturing kit includes the following: A needle holder. Toothed forceps, with a hook to handle tissue. Fine suturing scissors. The appropriate suturing material.

Are 3-0 Vicryl sutures dissolvable?

VICRYL RAPIDE™ Undyed Braided & Coated Absorbable Suture, 3-0, PS-2, Precision Point-Reverse Cutting, 18″ – 12/Box. Coated VICRYL RAPIDE™ (polyglactin 910) suture is a synthetic absorbable sterile surgical suture composed of a copolymer made from 90% glycolide and 10% L-lactide.

Is Maxon suture absorbable?

Maxon™ synthetic absorbable sutures are prepared from polyglyconate, a copolymer of glycolic acid and trimethylene carbonate. The advanced extrusion process of the molecule of polyglyconate gives the suture: Excellent in-vivo strength retention. Excellent knot tying security.