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Suture - wound closure and needles

AB
wound closure devicesstaples and steri-strips
advantage of stapleseasy, fast, minimal trauma, uniform tension
skin tapes / steri stripsused on areas with minimal tension
needle choice depends ontype / location of tissue
needle characteristicsstrong, rigid, sharp, same size as suture
parts of needleeye, body, point
types of eyeseyed, French eyed, eyeless (swaged on)
Swagged on is same asatraumatic
French eyed needle has aspring
semi-swaged is same aspop-off / controlled release/ D-Tach
body of needle may beround, triangular, flat
shape of needle may bestraight or curved
curved needles may be1/4, 1/2, 3/8 or 5/8 circle
point is chosen bydensity of tissue to be penetrated
taper needle isround with point
taper cut needle isround with cutting tip
blunt needle isround without a point
cutting needle istriangular with cutting edges
side cutting needle isflat on top / bottom with cutting edges
trocar point needle islike spear and side cutting
Precision point needle ishand sharpened, very sharp
Halstad suggestedinterrupted stitches
Continuous suture is same asrunning stitch
interrupted isindividual stitches
blanket stitch isa locking stitch
horizontal mattress has2 stitch lines parallel to wound
vertical mattress has2 stitch lines across wound
purse string is likea bag closure
figure of eight makesan "x" under the skin
Retention suture is used toreinforce wound closure
retention suture is asecondary suture line
a retention stitch uses abridge, bolster, or bumper
cut suture bysliding down the suture to knot
Advantages of skin staplesnonreactive, minimal trauma, quick
placing staples require you toposition lightly over middle of wound
removing staples requiresstaple extractor


Instructor / Certified Surgical Technologist
Renton Technical College
Renton, WA

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