Sutures part 3
-don't pull or stretch plain or chromic guyt
-nylon sutures should be drawn between gloves fingers to remove memory
-keep surgical guy away from heat
-never soak plain or chromic gut in saline or wager or it will cause it to deteriorate
-do not wet rapidly absorbing sutures
-keep silk dry
Do not bend stainless steel wire - ANS-after loading the suture onto the needle holder , the
surgical tech should straighten the suture with a gentle pull, handling tips include:...
"Bite" - ANS-Length is determined by the depth of the ________ of the tissue to be sutured
1. Free-tie
2. Ligature feel
3. Instrument tie (tie-on-a-pass)
4. Suture ligature (stick tie) - ANS-Lighting methods include (4 ways)
1. Full length
2. Precut suture strands in a package
3. Wound onto radiopaque reels (for superficial bleeders) - ANS-Ties are available as (3 types):
1. Size of suture
2. Surgeon preference
3. Depth of surgical wound - ANS-The needle holder is based on (3)
1.peritoneum
2.fascia
3.muscle
4.subcutaneous
5.subcuticular
6.skin - ANS-Order in which abdominal layers are closed(6)
1/2-4 inches
12-30 gauge
Smaller needles have a larger guage - ANS-Hypodermic needled
-length
-gauge
-smaller vs larger gauge?
1/3 - ANS-The needle holder is claimed approximately _____ the distance from the swaged end
of the needle
, 1/4 inch ends - ANS-Monofilament sutures, because the knots can slide, are typically cut
leaving
1/8 inches - ANS-Multifilament sutures can be cut closer to the knot at _______ because thy do
not slide as readily as monofilament
18 - ANS-Superficial bleeders will usually require ligatures no more than ______inches in length
18 inch - ANS-For superficial bleeders __________ stick ties are used
18-30 - ANS-Deep bleeders require a Suture length of between__________ inches
18, 24, 30 inch strands - ANS-Single strand lighting material is available in precut lengths of
2-0, 3-0 ; silk - ANS-Sizes ______ & ________ are the most commonly used stick tie sizes and
________ is the preferred suture material
2-0, 3-0, and 4-0 - ANS-Most common size ligature reels are
27 inch - ANS-For deep vessel ___________ stick ties are used
3/8 circle - ANS-Microsurgical needles and retention suture needles are usually ________, as
are needles for skin closure
54 inches (absorbable)
60 inches (nonabsorbable) - ANS-Standard lengths for non-needle suture material are
_____________ and May be cut into 1/4, 1/2, or 1/3 length by the surgical tech
Absorbable or nonabsorbable - ANS-Ligature reels are wound with __________ sutures
Arterial - ANS-________ needles, such as Potts-cournand and needle/cannula, are used to
introduce diagnostic or angioplasty guiding catheters over guiding wires into the arterial system.
Arterial or venous/cannula - ANS-______ needle assemblies employ a needle to introduce a
plastic indwelling catheter into a vessel (commonly called an IV)
Biopsy - ANS-Large percutaneous _______ needles are used to obtain tissue samples from
within the body for biopsy
Blunt points - ANS-_____________ have a round shaft that ends in a blunt tip. Used primarily
for the kidney or liver due to the tissue being so friable or weak
Bone marrow trocars - ANS-May be used to obtain bone marrow
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