What are the different types of suture patterns?
Suture patterns are typically categorised as: 1. continuous or interrupted 2. inverting, appositional, or everting 3. the effect the suture pattern has on wound tension.
What is a Cushing suture pattern?
In the Cushing suture technique, the suture penetrates into the submucosa without penetrating the organ lumen. The suture runs from both sides of the incision, parallel to each other. The Connell suture technique is almost identical to the Cushing suture technique.
What are inverting suture patterns?
Suture patterns can also be classified as everting, inverting and apposing: Everting tends to turn the tissue edges outward. Inverting sutures tend to turn the tissue inward. Apposing sutures bring the tissue edges into direct contact without eversion or inversion.
What is a lembert stitch?
Lembert suture is the simplest technique that can be used for the internal organs, performed relatively quickly. It inverts lips of the wound and never passes through the mucosa, so lowers the probability of the contamination.
When do you use inverting suture patterns?
- turns incision edges inward, away from surgeon.
- may be desirable when closing hollow organs. better “seal” against fluid leakage. minimizes exposed suture and subsequent adhesions. decreases the size of a hollow organ’s lume (avoid if already small)
- avoid in skin as delays healing.
What are the types of suture needles?
Providers use 2 main types of needles for suturing, cutting needles and tapered needles.
What is Maxon suture?
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.
What is Lamberts suture?
(läN-bĕr′) A continuous or interrupted suture for intestinal surgery that produces serosal apposition and includes the collagenous submucosal layer without entering the lumen of the intestine.
Suture patterns are typically categorised as: 1. continuous or interrupted 2. inverting,appositional,or everting 3. the effect the suture pattern has on wound tension. The choice of using interrupted versus continuous suture patterns still remains controversial (Table 1).
How does the choice of suture affect the healing process?
The choice of suture is also likely to affect the lengths of the surgical procedure and the healing process. It is better to be proficient at a small range of suture patterns than to be bad at performing all of them. • Whether each suture is individually placed (i.e. interrupted) or linked to the one on either side of it (i.e. continuous)
Where do you hold the needle during suturing?
The needle should be grasped by the tips of the needle holder at a point on the needle that is one-third to half of the way along the needle from the suture material end. If the tissue is delicate you hold the needle closer to the suture material end, and closer to the point for tougher tissues.
What kind of sutures do you use for An enterotomy?
I normally use full- thickness, simple interrupted appositional sutures for my enterotomy closure; however, I might add a modified Gambee suture to aid with apposition if the interrupted sutures are not apposing tissues to my satisfaction. 4. Again, trimming the everted mucosa is helpful in closing an enterotomy site.