Everything You Need to Know About Surgical Sutures
Posted on 13th Apr 2022
Any type of surgery involves a number of different components and apparatus. Doctors are usually called in to treat and close wounds, especially after invasive surgery. The wound usually takes several days to heal, and the doctor closes it in such a way that bleeding and infection are prevented. This triumph is made possible through the use of surgical equipment and procedures commonly referred to as surgical sutures. This article describes the various types of surgical Sutures.
Surgical Sutures Overview
The word suture is frequently confused with the word stitch. A suture, on the other hand, is simply the name of the medical device used by the doctor to repair the wound, whereas stitching is simply the technique used by the doctor to close the wound.
One of the most common medical instruments used by doctors during surgeries is a surgical suture. Suture aids in the reattachment of body tissues following surgery or injury. The use of a suture essentially entails the use of a needle with an attached thread. Doctors now have access to a wide range of surgical sutures in a variety of sizes, shapes, and thread materials.
The various types of sutures can be classified in a variety of ways.
To begin, suture material is either absorbable or nonabsorbable.
Absorbable sutures do not need to be removed by your doctor. This is because enzymes found in your body’s tissues naturally digest them.
Nonabsorbable sutures must be removed by your doctor at a later date or, in some cases, left in place indefinitely.
Second, the suture material can be classified based on the material’s actual structure. Monofilament sutures are made up of a single thread. This makes it easier for the suture to pass through tissues. Braided sutures are made up of several small threads that are braided together. This can result in improved security, but at the expense of an increased risk of infection.
Third, sutures can be classified as either natural or synthetic in nature. However, because all suture material is sterilised, this distinction is meaningless.
- Gut: A catgut suture is a natural, absorbable monofilament suture with high tensile strength. To hold tissues together, the suture maintains optimal strength. Catgut is a smooth and flexible suture with good knotting that disappears completely in 60 to 120 days depending on its size. This suture’s eventual disintegration makes it suitable for use in rapidly healing tissues.
- Polydioxanone (PDS): The polydioxanone suture is a type of synthetic monofilament suture that is used to repair soft-tissue wounds and abdominal closures. This suture is also used by surgeons during paediatric cardiac procedures.
- Poliglecaprone (MONOCRYL): This synthetic monofilament suture is used for soft tissue repair in general. This product should not be used in cardiovascular or neurological procedures. This suture is most commonly used to close skin in an unnoticeable way.
- Polyglactin (Vicryl): A tissue that lines the joint and forms a capsule around it. To lubricate the joint, the synovial membrane secretes synovial fluid (a transparent, sticky fluid).
Types of Nonabsorbable Sutures
Nonabsorbable sutures can all be used for soft tissue repair in general, including cardiovascular and neurological procedures.
- Nylon. A natural monofilament suture.
- Polypropylene (Prolene). A synthetic monofilament suture.
- Silk. A braided natural suture.
- Polyester (Ethibond). A braided synthetic suture.
Needle Suture
Suture needles are used by doctors to insert sutures into the tissues. The needle transports the material through the wound with minimal trauma. These needles are typically rigid enough to resist distortion while also being flexible enough to bend before breaking. Depending on the severity of the wound, the doctor may also use a thin needle to reduce trauma. Simultaneously, it should be sharp enough to penetrate the tissue with negligible penetration. The needle should be stable so that accurate placement is possible. Suture needles are typically made of stainless steel and contain the following components:
- The sharp suture needle pierces and spreads the tissues with minimal cutting, and it is used in areas where leakage must be avoided.
- The blunt suture needles are intended to pierce muscle and fascia. It can be used to lower the risk of blood-borne infections caused by needle-stick injuries.
- The needlepoint that gently pierces the tissue, beginning at the maximum point of the body and running to the needle’s end. It can be either sharp or blunt.
The shape of the various types of suture needles varies with curvature and is described in proportion to the completed circle. The most common curvatures are 14, 12, 3/8, 5/8, and so on.
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