Suture Material Revision

Match the suture pattern with the image

• Ford Interlocking

• 
• Simple Interrupted

• 
• Cruciate Mattress

• 
• Subcutaneous

• 
• Simple Continuous

• 

Categorise the properties of these suture patterns

Groups:

(a) Simple Interrupted

,

(b) Cruciate Mattress

,

(c) Cushing

,

(d) Subcutaneous

• Non absorbable sutures

• Muscles / Fascia

• Slow absorbable sutures

• Skin Closure - interrupted

• Bladder sutures

• Tension relief

• Absorbable suture material

• Intestinal sutures

• Skin / Abdominal Closure

• Continuou

• Creates water tight seal

• Skin Closure - continuous

What part of the body is each needle best suited to suture?

a

b

c

d

e

f

Muscle b

Skin

Sclera of the eye

Delicate tissue b

Delicate tissue

Muscle

Categorise the Absorbable v Non absorbable sutures

Groups:

(a) Slow Absorbable

,

(b) Rapid Absorbable

,

(c) Non Absorbable

• Polymerised caprolactam (Supramid)

• Polyamide (Nylon)

• Polyglyconate (Maxon)

• Silk

• Cat gut

• Glycomer 631 (Biosyn)

• Polydioxanone (PDS)

• Polypropylene (Prolene)

• Polyglactin 910 (Vicryl)

• Poly L-lactide/glycolide (Panacryl)

• Polyglycolic Acid (Dexon)

• Poliglecaprone 25 (Monocryl)

Categorise the Monofilament and Multifilament sutures

Groups:

(a) Monofilament

,

(b) Multifilament

,

(c) Mono or Multi -filament

• Polyglycolic Acid (Dexon)

• Polypropylene (Prolene)

• Glycomer 631 (Biosyn)

• Polymerised caprolactam (Supramid)

• Silk

• Polyglyconate (Maxon)

• Polydioxanone (PDS)

• Polyglactin 910 (Vicryl)

• Cat gut

• Polyamide (Nylon)

• Poliglecaprone 25 (Monocryl)

• Poly L-lactide/glycolide (Panacryl)

Categorise the different properties of suture materials (can you remember what their definitions?!)

Groups:

(a) Mechanical Properties

,

(b) Handling Properties

,

(c) Tissue interaction

• Tissue drag

• Rate loss of strength

• Mechanism of absorption

• Capillarity

• Potentiation of infection

• Palasticity

• Memory

• Tensile strength

• Pliability

• Knot security

• Inflammatory response

• Elasticity