2013年5月31日星期五

The principle of the choice of suture

Required for different surgical suture of choice is one of the key issues in the many choices faced by the surgeon. Of course, the surgeon's personal preferences play a role, but affect the healing of patients with a variety of factors involved in the organization's characteristics and postoperative complications that may occur will affect the final selection of the suture.
The wide variety of suture material that may make people feel at a loss to choose. The following principles can be used as a guide:
Wound reaches maximum intensity when no longer needed stitches. : Have to use non-absorbable suture or timeliness longer absorbable suture to sew slow healing tissue (such as skin, fascia, tendons, etc.);
Selection of absorbable suture to sew the heal faster organization (such as the stomach, colon, bladder, etc.).
Memory organization allows foreign body contamination into infection. : In the sutured wound contamination, avoid the use of the multi-fiber suture;
Switch to monofilament suture or absorbable sutures.
Stressed the beautiful parts of it should be noted that accurate but a long time on the SCO, to avoid the application of a variety of stimuli. : Use the finest, the reaction single fiber suture material (such as nylon, polypropylene); subcutaneous tissue as much as possible at the same time; such as circumstances permit, the application of sterile skin involution tape.
Class crystal solution in high concentrations, any foreign matter may promote the formation of precipitation and stones. : In the urinary tract and biliary tract surgery, you should use absorbable sutures
5 About suture models:
Best match the natural strength and suture tissue slit line.

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