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Suture

Match the following definitions with the correct terminology relating to sutures and suturing.

AB
Absorbable sutureCapable of being absorbed by tissue within a given period of time
Nonabsorbable sutureResists absorption by tissue, becomes encapsulated
Monofilament sutureMade of a single thread-like structure
Multifilament sutureMultiple thread-like structures braided or twisted into a single strand
CapillarityThe ability to harbor bacteria/retain tissue fluids that can be communicated along the strand length
Natural absorbable sutureNaturally occuring substance, digested by body enzymes
Synthetic absorbable suturePolymers from petroleum based products, hydrolyzed by the body
Ligature/ free tieUsed to occlude vessels for hemorrhage control or for organ/extremity removal. No needle.
Suture liagature/stick tieSutures loaded on a needle holder. Occludes bleeding vessels.
Continuous/running stitchA single strand of suture placed as a series of stitches. Tied at the beginning and end.
Interrupted stitchClosure of choice for tissues under tension. Individually placed and tied.
Traction stitchUsed to retract a structure that may not be easily retracted with retractor
Pursestring stitchDrawstring suture placed in a circular fashion around a lumen, pull on ends closes opening
Primary suture lineThe sutures that approximate wound edges
Secondary suture lineUsed for support of the primary suture line, eases tension, reinforces wound closure
Retention stitchesAdded wound reinforcement. Large gauge,interrupted, nonabsorbable sutures
BridgesPlastic devices that "bridge" the closed incision
BolstersPlastic/rubber tubing pieces threaded over retention suture. Prevents skin cutting
ButtonsUsed for tendon repair, sutures pulled through holes;tied. Prevents tissue damage
Umbilical tapeUsed for retraction/isolation device for bowel/vessels/ducts.
Vessel loopsUsed for retraction of delicate structures. Colored for easy identification.
Subcuticular stitchUsed to minimize scarring. A continuous suture placed under the epithelial skin layer
Tensile strengthAmount of pull or tension a suture strand will withstand before breaking


Pewaukee, WI

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