Sutures

Suture Choices
Types Indications
Approximate Ms to avoid fibrosis
Natural  as Chromic Catgut Close Fascia & Peritoneum
Absorbable*
Synthetic  as Vicryl & Dexon Ligate BVs?

Non-absorbable Natural  as Silk1 Closure of Skin (Silk)

(No Loss of Strength but Tendon & n. repair
Synthetic  as Proline2 & Nylon2 Hernia Repair
FB)
*all usually lose tensile strength after 2-3wk ‫ تذكر‬Layers closed

Proline (Polypropylene)
1-Easy to handle but More inflam. reactions

2-Less inflam. Reaction but difficult to handle & Expensive

Suture Needles
Types Indications
Suturing of Soft tissues
Round body Tip -Ms, Nerve
Rounded Needle
leave a round hole in tissues -Fascia & Peritoneum
-GIT
Triangular body
è Sharp edge toward inner circumference
Cutting Needle leave a triangular hole in Suturing of Skin
tissues