Professional Documents
Culture Documents
Benang Bedah
Benang Bedah
and Needles
SUTURES
Monofilament
Use for any procedure
Easy to handle
Minimal tissue reaction
High breaking strength
Hold knots securely
Absorbable
Predictable Absorption
Sterile
Classification of Sutures
CHARACTERISTIC
STRUCTURE
MATERIAL
Absorbable
Nonabsorbable
Monofilament
Multifilament
Synthetic
Biological
Advantage
ABSORBABLE
z Broken down by
body
z No foreign body left
NONABSORBABLE
z Permanent Wound
Support
Disadvantage
ABSORBABLE
z Time of wound
support
NONABSORBABLE
z Foreign body left
z Suture sinus
z Suture extrusion
Advantage
MONOFILAMENT
z Smooth surface
z Low friction
Q
Q
Less drag
Less tissue
trauma
No bacterial
harbours
No capilarity
MULTIFILAMENT
z Strength
z Soft & pliable
z Good handling
Disadvantage
MONOFILAMENT
z Handling &
Knotting
z Ends/knot burial
z Strecth
MULTIFILAMENT
z Bacterial
harbours
z Capillary action
z Tissue trauma
Q
Q
Drag
Cutting
Advantage
BIOLOGICAL
z Handling &
Knotting
z Economical
SYNTHETICS
z Resemble
natural
substances
z Absorption by
hydrolysis
z Predictable
absorption
z Strong
Disadvantage
BIOLOGICAL
z Absorption by
enzymatic
action
z Tissue reaction
z Unpredictable
absorption
SYNTHETICS
z Monofilament
handling
Plain/F.A. Gut
Biological
Chromic Gut
VICRYL*Rapide
Absorbable
Synthetic
VICRYL*
MONOCRYL*
PDS II*
PANACRYL*
* Trademark
Absorption Terminology
ABSORBABLE SUTURES
LOSS OF
TENSILE STRENGTH
z
z
Wound support
No loss of suture
bulk
Strength reduced
ABSORPTION OF
MASS
Elimination of
Suture
Material removed
Suture Handling
Absorbable Sutures
Catgut
VICRYL*
Rapide
Chromic
Catgut
MONOCRYL*
Coated
VICRYL*
PDS* II
WOUND
SUPPORT
ABSORPTION
OF MASS
7 10
60 90
6 14
by 42
17 21
90 110
14 21
90 120
28 35
56 70
up to 56
by 182
Catgut Absorption
Wound
Support
Mass
absorption
PLAIN
CHROMIC
7-10 days
17 21 days
60 90 days
90 110
days
Coated VICRYL*
Absorption
z
z
z
Biological
Biological
Non Absorbable
Silk
ETHILON*
Synthetic
Synthetic
MERSILENE*
ETHIBOND*
PROLENE*
Stainless Steel
* Trademark
MERSILK*
DRAWBACKS
z
z
z
Tissue reactions
Loss of strength
Ultimately
fragments
Foreign body
implanted long
term
NUROLON*
SILK
PROLENE* Polypropylene
MINIMAL TISSUE REACTION
Enlarged photomicrograph
PROLENE* suture
Implanted 6 months
NEEDLES
Needle Selection
z
z
z
z
z
z
Minimal trauma to
tissue
Sharpness
Bend resistance
Corrosion
resistance
Sterility
Size, shape &
design
Eyed Needles
z
z
z
z
z
z
Double suture
strand
Threading time
Resterilisation
Point
maintenance
Risk of corrosion
Risk of
unthreading
Eyed
Suture Attachment
Channel
z Drilled
z
Anatomy of a Surgical
Needle
EYELESS NEEDLE
Needle
point
Chord length
Swage
Needle
radius
Needle
diameter
Needle length
Needle body
Needle Shapes
Circle
3/
8
Circle
Circle
5/
8
Circle
J Shape
Curved
Compound
Curve
Straight
3.75mm 8mm
OPHTHALMIC
5mm 16mm
CARDIOVASCULAR
8mm 40mm
SKIN RANGE
9mm 60mm
G.I. RANGE
13mm 40mm
CLOSURE
30mm 110mm
HAND HELD
55mm 110mm
110mm
3mm
Needle Types
z
z
z
Round Bodied
Cutting
Ophthalmic
Cutting Needles
z
CONVENTIONAL
CUTTING
Q
Apex of edges on
inside curvature
Cutting Needles
z
REVERSE
CUTTING
Q
Apex of edges on
outside curvature
PACKAGING
Metric
Metric
Gauge
Gauge
Code
Code number
number
Denotes
Denotes Easy
Easy
Access
Access packaging
packaging
Manufacture
Manufacture
&
& Expiry
Expiry date
date
Product
Product description
description
&
& colour
colour
Needle
Needle
description
description
Sterilisation
Sterilisation Method
Method
Length
Length
IDENTIFICATION
IDENTIFICATION OF
OF MARKINGS
MARKINGS
Tear in direction
of arrow
Foil & card
open together
revealing
needle
Arm needle
holder
Withdraw
suture
Packaging RELAY*
z
z
z
Single
overwrap
Remove tray
Pull down flap
to expose
Arm needle
holder
Withdraw
suture
KINK FREE SUTURE DISPENSED