Sutures
Chart
Sutures chart
| Area | Size | Type | Days to Removal |
|---|---|---|---|
| Scalp | Staples or 4-0 or 5-0 | non absorbable | 7 |
| Ear | 6-0 | non absorbable | 5-7 |
| Eyelid | 6-0 or 7-0 | absorbable or nonabsorbable | 5-7 |
| Eyebrow | 5-0 or 6-0 | absorbable or nonabsorbable | 5-7 |
| Nose | 6-0 | absorbable or nonabsorbable | 5-7 |
| Lip | 6-0 | absorbable | NA |
| Oral mucosa | 5-0 | absorbable | NA |
| Other face / forehead | 6-0 | absorbable or nonabsorbable | 5 |
| Chest/abdomen | 4-0 or 5-0 | non absorbable | 12-14 |
| Back | 4-0 or 5-0 | non absorbable | 7-10 |
| Extremities | 4-0 or 5-0 | non absobrable | 7-10 |
| Hand | 5-0 | non absorbable | 7-10 |
| Foot / Sole | 4-0 | non absorable | 12-14 |
| Joint (Extensor) | 4-0 | non absorable | 10-14 |
| Joint (Flexor) | 4-0 | non absorbable | 7-10 |
| Vagina | 4-0 | absorbable | NA |
| Penis | 5-0 | non absorbable | 7-10 |
| Scrotum | 5-0 | non absorbable | 7-10 |
Note: consider use of Fast Absorbing Gut (5-0/6-0) on Ear, Eyelid, Eyebrow, Nose, Lip and Face if anticipated difficulty with suture removal
Note: Favor absorbable sutures for facial repair especially in children
Types
| Suture Type | Days of Tensile Strength | Complete Absorption | Descriptions |
|---|---|---|---|
| Chromic Gut | 7-21 days | 90 days | Chromium treated to decrease tissue reactivity |
| PDS (Polydioxone) | 14 days | 180-240 days | Monofilament synthetic absorbable suture |
| Vicryl (Polyglactin) | 21 days | 90 days | Synthetic |
| Vicryl Rapid | 10 days | 42 days | Synthetic with radiation treatment for increased absorption |
| Suture Type | Tensile Strength | Body Reactivity | Filament |
|---|---|---|---|
| Nylon | High | Low | Monofilament |
| Silk | Low | High | Multifilament |
| Prolene (Polypropylene) | Moderate | Low | Monofilament stiff |
Technique
Horizontal mattress
Vertical mattress
Vertical mattress
- Horizontal Mattress
- Spreads tension over wound
- Useful for high tension wounds
- Vertical Mattress
- Great for wound eversion, closure of both superior and deep layers
- Useful when there is a contraindication to deep sutures
See Also
References
- Tajirian Ani et al. A review of sutures and other skin closure materials. Journal of Cosmetic and Laser Therapy. 2010 Dec;12(6):296-302.
This article is issued from
Wikem.
The text is licensed under Creative
Commons - Attribution - Sharealike.
Additional terms may apply for the media files.