SURGICAL SUTURE-Techniques And Principles, Absorbable And Nonabsorbable Suture, Demonstration Of Suturing, Technology, Instruments For Surgical Suture

SURGICAL SUTURE Techniques And Principles, Absorbable And Nonabsorbable Suture, Demonstration Of Suturing, Technology, Instruments For Surgical Suture Primary Information Services Home. Ordering Information. Contact
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Sutures are designed to help the healing of the body by closely opposing the two sides of a wound to minimize scar formation or to prevent leaking blood, like in vessels. Absorbable sutures are made of materials which are broken down in tissue after a given period of time, which depending on the suture can be from ten days to four weeks. They are used therefore in many of the inner tissues of the body. Absorbable sutures were originally made of the intestines of sheep, the so called catgut. The manufacturing process was similar to that of natural musical strings for violins and guitars, and also of natural strings for tennis racquets. The major part of the absorbable sutures used are now made of synthetic polymer fibers, which may be braided or monofilament; these offer numerous advantages over gut sutures, notably ease of handling, low cost, low tissue reaction, consistent performance and guaranteed non-toxicity. Non absorbable sutures are made of materials which are not metabolized by the body, and are used therefore either on skin wound closure, where the sutures can be removed after a few weeks, or in some inner tissues in which absorbable sutures are not adequate. There are several materials used for non absorbable sutures. The most common is a natural fiber, silk, which undergoes a special manufacturing process to make it adequate for its use in surgery. The sutures were originally manufactured ranging from #1 to #6, with # 1 being the smallest. The manufacturing techniques, derived at the beginning from the production of musical strings, did not allow thinner diameters. In recent years, topical cyanoacrylate adhesives have been used in combination with, or as an alternative to, sutures in wound closure. The adhesive remains liquid until exposed to water or water-containing substances/tissue, after which it cures and forms a flexible film that bonds to the underlying surface.
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