what are different types of sutures

Types of Sutures and their Uses

• Natural and Synthetic Sutures. Some of the materials are natural, while others are synthetic. ...
• Absorbable and Non-absorbable Sutures. Sutures can be absorbable or non-absorbable. ...
• Monofilament and Multifilament Sutures. Monofilament sutures are single strand sutures, whereas multifilament sutures are braided sutures that are made up of several strands.

Full Answer

What are the types of suturing techniques?

The different types of suturing techniques include:

• Simple interrupted suture: It is the most common and simple form of suturing technique. ...
• Continuous ( running) suture: It is a simple interrupted suture without interruption. ...
• Running locked suture: A simple running suture may either be locked or left unlocked. ...
• Vertical mattress suture: It is a variation of a simple interrupted suture. ...

More items...

Which sutures are absorbable?

– Synthetic absorbable sutures are those that are made of synthetic polymers as PGLA, PGA, PDO, PCL… hydrolysed by water, which causes the breakdown of the polymer material. – Natural absorbable sutures are made from collagen of healthy mammals (cow, sheep, goat), known as Surgical Gut (Catgut).

Which type of suture is appropriate for closeing arteriotomy?

what type of suture is most appropriate for closing an arteriotomy? heparin During a vascular procedure, monitoring the activated clotting time intraoperatively provides useful data for judging the need for reversal or addition of

Are there different suture materials?

Suture materials are the substances that make up those stitches. There are many different types of suture materials, including both natural and synthetic materials, those that can or cannot be absorbed by the body, and those that are braided or consist of a single strand.

What are the 3 types of sutures?

Suture material Nylon: Nylon creates a type of natural monofilament suture. Polypropylene (Prolene): This material creates a monofilament suture. Silk: Silk sutures are typically braided and made naturally. Polyester: This form is synthetic and braided.

What is the most common suture type?

Polyglactin Sutures The Polyglactin Suture comprises a synthetic braid, which is good to repair lacerations on the face and hands and is the most preferred option for general soft tissue approximation. Like the Poliglecaprone suture, this suture too is used in of vascular anastomosis procedures.

How many different types of sutures are there?

There are two types of sutures, absorbable and non-absorbable. Absorbable sutures will naturally break down in the body over time while non-absorbable sutures are made of synthetic material that is removed after a certain period of time.

What are the different types of suture patterns?

Sutures may be placed in two main types of patterns Surgery: suture patterns - basic patterns : Interrupted. Continuous....Types of tension sutures:Interrupted vertical mattress. .Horizontal mattress. .Walking sutures. .Quilled sutures.Stent sutures.

What are the 4 types of sutures?

Some of them are: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.

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].

Which suture is best?

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].

Is there a 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 is Vicryl suture used for?

Vicryl sutures were used to suture small and large intestine, peritoneum, fascia, muscle, subcutaneous tissue, and skin and were used in thoracotomy closure.

Why do they call it catgut?

The word catgut is derived from the term kitgut or kitstring (the string used on a kit, or fiddle). Misinterpretation of the word kit as referring to a young cat led to the use of the term catgut.

What types of sutures are absorbable?

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

What are non-absorbable sutures?

Nonabsorbable sutures are composed of manmade materials, which are not metabolized by the body. The most commonly used nonresorbable suture in dentistry is a natural fiber, silk, which undergoes a special manufacturing process to make it adequate for its use in surgery.

What is Vicryl suture used for?

Vicryl sutures were used to suture small and large intestine, peritoneum, fascia, muscle, subcutaneous tissue, and skin and were used in thoracotomy closure.

What type of suture is Vicryl?

VICRYL Suture is a synthetic absorbable suture coated with a lactide and glycolide copolymer plus calcium stearate. It is indicated for use in general soft tissue approximation and/or ligation, including ophthalmic procedures, but not cardiovascular or neurological tissues.

What is the most common knot used in suturing?

The two-hand square knot is the easiest and most reliable for tying most suture materials. It may be used to tie surgical gut, virgin silk, surgical cotton, and surgical stainless steel.

When do you use Vicryl sutures?

Vicryl Rapide is indicated only when short-term wound care is needed and for use in superficial soft tissue suturing....Vicryl is a preferred suture material in dentistry because it offers the following benefits:Contributes to faster wound healing.Does not allow adherence of plaque.Offers easy handling.

What are the two types of surgical sutures?

Surgical sutures can also be divided into two types on the basis of raw material origin i.e. natural and synthetic sutures.

What are sutures classified into?

Sutures are classified into different sizes based on the diameter of the thread. United States Pharmacopeia’s classification of sutures into various sizes is widely accepted across the world. The following U.S.P. and metric suture sizes chart shows the diameter range for collagen and synthetic sutures. 4.

What is a multifilament suture?

Multifilament sutures are braided and often coated with various materials like silicon, wax , PTFE, polycaprolactone, calcium stearate etc. Barb sutures are monofilament sutures that have barbs or projections on the surface that can penetrate the tissues and hold them without necessitating the need for knots.

What is the type of suture used in surgery?

The type of suture used varies on the operation, with the major criteria being the demands of the location and environment and depends on the discretion and professional experience of the Surgeons. Surgical sutures to be placed internally would require re-opening if they were to be removed. Suture materials which lie on the exterior ...

What is the classification of sutures?

Classification of sutures based on suture size. Surgical Sutures and ligatures are available in a number of sizes. Sutures are classified into different sizes based on the diameter of the thread. United States Pharmacopeia’s classification of sutures into various sizes is widely accepted across the world.

How long does it take for sutures to be removed?

Suture materials which lie on the exterior of the body can be removed within minutes, and without re-opening the wound. As a result, absorbable sutures are often used internally; non-absorbable externally.

What is the difference between sutures and stitches?

You’ll often see sutures and stitches referred to interchangeably. It’s important to note that “suture” is the name for the actual medical device used to repair the wound. The stitching is the technique used by your doctor to close the wound.

What is a suture used for?

Sutures are used by your doctor to close wounds to your skin or other tissues. When your doctor sutures a wound, they’ll use a needle attached to a length of “thread” to stitch the wound shut. There are a variety of available materials that can be used for suturing.

What is the difference between monofilament sutures and braided sutures?

Second, the suture material can be classified according to the actual structure of the material. Monofilament sutures consist of a single thread. This allows the suture to more easily pass through tissues. Braided sutures consist of several small threads braided together.

What is interrupted suture?

Interrupted sutures. This suture technique uses several strands of suture material to close the wound. After a stitch is made, the material is cut and tied off. This technique leads to a securely closed wound. If one of the stitches breaks, the remainder of the stitches will still hold the wound together.

What is continuous stitch?

Continuous sutures. This technique involves a series of stitches that use a single strand of suture material. This type of suture can be placed rapidly and is also strong, since tension is distributed evenly throughout the continuous suture strand.

How is suture graded?

Suture material is graded according to the diameter of the suture strand. The grading system uses the letter “O” preceded by a number to indicate material diameter. The higher the number, the smaller the diameter of the suture strand.

How long do sutures last?

When your sutures are removed will depend on where they are on your body. According to American Family Physician, some general guidelines are as follows: 1 scalp: 7 to 10 days 2 face: 3 to 5 days 3 chest or trunk: 10 to 14 days 4 arms: 7 to 10 days 5 legs: 10 to 14 days 6 hands or feet: 10 to 14 days 7 palms of hands or soles of feet: 14 to 21 days

What are some examples of surgical sutures?

Examples of natural surgical sutures are catgut suture and silk.

What is a surgical suture?

Surgical sutures are medical devices used to hold body tissues together after an injury or surgery. There are various types of surgical sutures and they are classified based on a number of factors such as absorbability, origin and structure of the surgical suture.

What size suture for orthopedics?

Modern sutures range from #5 (heavy braided suture for orthopedics) to #11-0 (fine monofilament suture for ophthalmics). Atraumatic needles are manufactured in all shapes for most sizes. The actual diameter of thread for a given U.S.P. size differs depending on the suture material class.

What size suture is used for tennis?

Suture sizes are defined by the United States Pharmacopeia (U.S.P.). Sutures were originally manufactured ranging in size from #1 to #6, with #1 being the smallest. A #4 suture would be roughly the diameter of a tennis racquet string.

What is multifilament suture?

Multifilament suture material is composed of several filaments twisted or braided together. It generally has greater tensile strength and better pliability and flexibility than monofilament suture material, and it handles and ties well

What is non absorbable suture?

Non-absorbable sutures, as the name implies are surgical sutures that cannot be absorbed by the body as such needs to be removed at a later time.

How long does it take for a suture to break down?

The process of degradation depends on the material and range from ten days to eight weeks.

What are the different types of sutures?

Different Types of Sutures. 1. Types of Sutures1. 2. Sutures are divided into two types according to its nature ofabsorption:1) Absorbable sutures2) Non Absorbable sutures. 3. Sutures can be classified according to structure of material:1) Monofilament sutures2) Multi Filament or Braided Sutures. 4.

What are sutures divided into?

Sutures can be divided into absorbable sutures, non absorbable sutures, mono filament, multi filament, natural and synthetic sutures according to their type of material, raw material used, absoprtion nature.#N#Read more

What is the most common form of suturing?

The different types of suturing techniques include: 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.

What are the considerations when choosing a suture material?

The important considerations for choosing a suture material include: Tensile strength. Knot strength. Handling. Tissue reactivity. Sutures are basically of two types: Absorbable: It loses the tensile strength in 60 days. It is generally preferred for a buried type of suturing and does not require removal.

What are the tools necessary for suturing?

To obtain the desired outcome, it is essential to have good quality instruments depending on the nature of the wound. The basic suturing kit includes:

How is a suture stitch started?

The suture is started by placing a simple interrupted stitch, which is tied, but not sliced. Simple sutures are placed in succession, without cutting or tying the suture material. In the end, the stitch is secured by tying a knot after the last pass.

How to lock a running suture?

At first, the knot of a running locked suture is tied similarly to that in a traditional running suture. Next, the stitch is locked by passing the needle through the loop as each stitch is placed.

How far is a mattress suture inserted?

Horizontal mattress suture: The needle is inserted 5 to 10 mm from the wound edge and exits on the opposite side of the wound. The needle is then re-inserted on the second side of the wound and exits the skin in the same position on the first side of the wound. The stitch is secured with a knot.

What is a running subcuticular suture?

The stitch is secured with a knot. Running subcuticular sutures: It is a buried form of a running horizontal mattress suture. The stitch is placed in a zigzag form through the deeper layer of the skin. No scar or marks are visible.

When do you use sutures?

Sutures are used by your doctor to close wounds to your skin or other tissues.

What is a suture used for?

Sutures are used by your doctor to close wounds to your skin or other tissues. When your doctor sutures a wound, they’ll use a needle attached to a length of “thread” to stitch the wound shut. There are a variety of available materials that can be used for suturing.

What is a polydioxanone suture?

Polydioxanone (PDS) – This synthetic monofilament suture can be used for many types of soft tissue wound repair (such as abdominal closures) as well as for pediatric cardiac procedures. Poliglecaprone (MONOCRYL) – This synthetic monofilament suture is used for general use in soft tissue repair.

What is a multifilament suture?

Multifilament suture – made of several filaments that are twisted together (e.g braided silk or vicryl ). They handle easier and hold their shape for good knot security, yet can harbour infections.

What is a good suture for facial lacerations?

Polyglactin (Vicryl) – This synthetic braided suture is good for repairing hand or facial lacerations. It shouldn’t be used for cardiovascular or neurological procedures.

What is a gut suture?

Gut – This natural monofilament suture is used for repairing internal soft tissue wounds or lacerations. The gut shouldn’t be used for cardiovascular or neurological procedures. The body has the strongest reaction to this suture and will often scar over. It’s not commonly used outside of gynecological surgery.

Why do you need to remove nonabsorbable sutures?

This is because enzymes found in the tissues of your body naturally digest them. Nonabsorbable sutures will need to be removed by your doctor at a later date or in some cases left in permanently. Second, the suture material can be classified according to the actual structure of the material.

What is the difference between stitches and sutures?

We often hear people use the words “sutures” and “stitches” interchangeably, but while the two are directly related to one another, they have different meanings. The word “stitches” refer to the technique that healthcare practitioners use to repair a wound; on the other hand, the term “sutures” points out the material used to close ...

How to take care of sutures?

The first rule in taking care of your sutures is to keep them clean and dry. Never apply any cream or lotion unless your doctor approves of it. Likewise, if your stitches require bandaging, you must also keep the bandage clean and dry; if they get wet, change them immediately. Here are some additional guidelines:

What is absorbable suture?

Absorbable sutures are those that lose their tensile strength over a certain period of time. For this reason, you can also call them “dissolvable stitches, ” which means there’s no need to physically remove them. In most cases, surgeons use absorbable sutures in deep temporary closure or when removing the stitches is particularly hard.

Why do surgeons use absorbable sutures?

However, using absorbable sutures on superficial skin areas increases the risk of inflammation and scarring.

How long does it take for stitches to heal?

Usually, non-absorbable sutures heal after 5 to 10 days, but it still depends on several factors, like the affected area and how deep the wound is. Your doctor will give you detailed instructions when it comes to removing your stitches. Absorbable sutures, on the other hand, usually dissolve after a week or two.

How long does it take for a suture to dissolve?

Absorbable sutures, on the other hand, usually dissolve after a week or two. However, please note that some absorbable stitches take several months to completely heal.

What to do if your child has stitches?

In particular, keep an eye on young er kids as they may be curious and venture into playing in the mud or sandpit , which may impede wound healing.

Types of Surgical Sutures

Based on Absorbability

Based on Origin

Based on Size

• The tensile strength and handling properties are affected by the thickness of the suture thread. Suture materials are therefore manufactured in a variety of sizes. Suture sizes are defined by the United States Pharmacopeia (U.S.P.). Sutures were originally manufactured ranging in size from #1 to #6, with #1 being the smallest. A #4 suture would be ...

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