Fix Suture Materials

7/23/2019 Fix Suture Materials

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SUTURE MATERIALS

Referat


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TOPIC

1.Suture

2.Needle


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SUTURE


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The Ideal Suture Material

Can be used in any

tissue

Easy t handle

!d "nt se#urity

Mini$al tissuerea#tin

Unfriendly t ba#teria

Strn% but s$all

&n't tear thru%h

tissues

Chea(


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Readin% the Suture Label

C$(an

Needle

Size Order Cde

NameAls)

LEN!T*

NEE+LES,M-OL

COLOR

Absrbable r Nn


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SUTURE

Classied

The base in%redients

Ty(e f strand $n r $ulti la$ent

The absrbable nn/absrbable in tissue


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in%redients

Natural Sil"

Linen0#attn

Cat%ut

Ply$er

syntheti# Ply(r(ylene

Plyester

Plya$ide


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Ty(e f strand

Mnla$ent Nyln

Plydianne

Ply(r(ylene

$ultila$ent Cat%ut

Sil"

(lyester


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Monoflament

Less tissue dra%

Pr "nt se#urity

the "nt ill be

release easily

- tissue rea#tin

Sft stit#hin% $ar"

Multiflament

Mre tissue dra%

!d "nt

se#uritythe "nt

ill nt release easily

3tissue rea#tin

Real stit#hin% $ar"


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Mnla$en !ese"an terhada(

4arin%an $ini$al

res(n 4arin%an$ini$al

I"atannya le$ah

-e"as 4ahitan$ini$al

Nyln

Plydianne

(ly(ylene

Multila$en !ese"an terhada(

4arin%an $a"si$al

res(n 4arin%an3

I"atannya "uat

-e"as 4ahitan 3

Sil" Cat%ut

Plyester


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Ty(e f absr(tin in tissue

Absrbable

Cat%ut

Plydianne (ly%ly#li# a#id

Nn/absrbable

Nyln

Plyester

stainless steel


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Absrbable


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CatgutNature,Multiflament,absorbable

1. PLAIN CATGUT

Made fr$ the %ut f shee( r #

Absrbable in 5/16 days

7.68s$allest9 : ; 8bi%%est9

It $ust be "ntted ; ti$es 8in the bdy < the suture

#an be e(and9< if 2 ti$es the "nt ill be (ened

Stred in li=uid(re>ent dry dan sti?.


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@un#tin

Sub#uti#ular0sub#utaneus

Li>er

A((endi

U

Mesentery


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2. CHRMIC CATGUT

Plain #at%ut 3 #hr$e a#id the sutures

be#$es strn% and hard< the absrbable is

$re ln%er ) 26/B6days

-rea"s dn by (ha%#ytsis) ina$$atry

rea#tin #$$n

;.6 : ;


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Pol!gl!"ol" a"id #PGA$Synthetic,Multiflament,absorbable

Ply$er f %ly#li# a#id as in the fr$ f $nla$ent t

fra%ile t be used< s that the la$ents etruded and "ntted 0

braided t a#hie>e hi%h tensile stren%th

Rea#tin f ina$atin D Cat%ut

@r

!I anast$se sa$bun%in usus

$us#le and fas#ia

sub#uti#ular


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Pol!gla"tin %1i#ryl9Synthetic,Multiflament,absorbable

C/(ly$er fr$ %li#lid and la#tid.

@ila$ents #ated by a $iture f (ly$er and #al#iu$ stearate t redu#e

fri#tin. Absr(tin ##urs thru%h hydrlysis (r#ess that ta"es

a((ri$ately 26/B6 days.

-r"en dn by enFy$es< nt (ha%#ytsis

-rea"/dn (rdu#ts inhibit ba#terial %rth

Can use in #nta$inated unds< unli"e ther $ultila$ents

@r

!I anast$se

Mus#le and fas#ia

sub#uti#uler


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T'imet(!lene)Gl!"oli" A"id#Man 9Synthetic,Monoflament,absorbable

A $nla$ent syntheti# (ly$er $aterial< nn/anti%eni# and nn/

(yr%eni#< $ini$al tissue rea#tin

Nn/enFy$ati# hydrlysis is ##ur in the (atients and are usually nished

beteen 1G6/216 days

5.6 / 2

Pr "nt se#urity but >ery strn%

@r

!I anast$se

fas#ia

SC


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Pol!dio*anone#P+S II9Synthetic,Monoflament,absorbable

A (ly$er (lyester $nla$ent.

Causin% e?e#ts f (yr%ens r anti%en

This $aterial hydrlysised 8dihan#ur"an leh air9 is abut H6 days

and #$(leted ithin $nths

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@r

!I anast$se

Mus#le and fas#ia

sub#uti#ular


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Poligle"a+'one 2, #mono"'!l$Synthetic,Monoflament,absorbable

*a>in% a %d r"in% #hara#teristi#s f the tissues< is a

(ly$er that is nn/anti%eni# and (yr%eni# ith $ini$al

tissue rea#tin.

7.6 : 1

@un#tin

Subarti#ular

Li%atin

Sub#utaneus


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NON/A-SOR-A-LE


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Pol!utete' #N>al9Synthetic,Monoflament,non-absorbable

Easy t use and has hi%h stren%th

ith $ini$al tissue rea#tin.

@r

S"in 8(lasti# sur%ery9

eyes

@as#ia


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Pol!/in!lidene#iline9Synthetic,Monoflament,non-absorbable

A $nla$ent suture $aterial ith $ini$al rea#ti>e

@un#tin

Abd$inal fas#ia

Anast$se >as#ular

Subarti#ular

Tendn

eyes


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Pol!ete'#+y#l# 9Synthetic,Monoflament,non-absorbable

A $nla$ent suture $aterial ith

$ini$al rea#ti>e and elasti#.

@un#tin

S"in 8(lasti# sur%ery9

eyes

@as#ia


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Pol!amideSynthetic,Mono/multiflament,non-absorbable

Nyln $nla$ent but has its n diJ#ulties in its use and

ha>e less bindin% (er =uality.

16.6 / 2

@un#tin

@as#ia

S"in

*ernia

as#ular

neursur%i#al


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Pol!+'o+!lene#Sur%ilenee (ly$er ith $ini$al tissue rea#tin.

The $aterial that has a hi%h band #a(a#ity su#h as nyln.

16.6 / 2

fun#tin

Abd$inal fas#ia

anast$se >as#ular

Subarti#ular

Tendn

Eyes


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Pol!ete'Synthetic,Mono/multiflament,non-absorbable

A (ly$er is ha>in% a hi%h tensile stren%th and is

(er$anent< ith $ini$al tissue rea#tin

.6 / 1

@un#tin

Cardia# sur%ery 8>al>e9

Tendn

eye

Orth(edi


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Seide8sil"0sutera9Natural,multiflament,non-absorbable

Made fr$ sil"

56K (rtein< ;6K adhesi>e ntsli((ery

7.6 : ;

@un#tin )

S"in bindin% artery


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Linen8#atn9

Made f natural #ttn bers by s(innin% ay.

Sft< strn%< easily "ntted< $ini$al bdy rea#tin

B.6 : 1.6

@un#tin

intestinal

S"in 8@a#e9


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Stainle teelNatural,multi/monoflamen,tidak terabsorpsi

Metalli# suture is $ade fr$ stainless steel (lila$en

Etre$ely strn%< nn/#rrsi>e and $ini$u$ bdy

rea#tin

Is the $st (erful stit#hin% $aterial ith $ini$al

tissue rea#tin< but ha>e diJ#ulty in tyin% sutures

le>els.

This $aterial is >ery rarely used

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@un#tin

Sternal

*ernia

und #nta$inatin

Orth(aedi


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NEE+LE


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Su'gi"al Needle

T(e u'gi"al needle (a a ai"

deign "om+oed o0 t('ee +a't

1- T(e eye

+e'mit t(e utu'e andneedle to a"t a a ingle unit tode"'eae t'auma


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Su'gi"al Needle

2- T(e body

idet +oint o0 t(e needle and i alo 'e0e''ed to

a t(e g'a+ing a'ea.

T(e od! "ome in nume' o0 (a+e #'oundo/al 'e"tangula' t'a+ezoid o' ide 3attened$

4- T(epoint

'un0'om t(e ti+to t(e ma*imum "'o-

e"tional a'ea o0 t(e od!.

T(e +oint alo "ome in a nume' o0 di5e'ent

(a+e #"on/entional "utting 'e/e'e "utting

ide "utting ta+e' "utta+e'$


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An i$(rtant #hara#teristi# f

sur%i#al needles

The sha(e and #ur>ature

Needle len%th and dia$eter 8siFe9

End f the ta(er and #rss se#tinal

suture $aterials


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Sha(es f Needles


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6 7 used in the #ase f the eye and

$i#rsur%i#al

4)8 o' 9 %eneral use n all tissue ,)8 7 used in the #ase f

Cardi>as#ularsiste$ and #a>ity 8 (el>is9

Lu'u 7%eneral use

:- (a+ed 7 fr fe$ral hernia


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Ty(es eyed f Needles

;!ed needle

Mre Trau$ati#

Only thread

thru%h n#e

Tends t unthread

it self easily


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Ty(es eyed f Needles

Saged-onneedle

Mu#h less

trau$ati#

Mre e(ensi>e

suture $aterial

Sterile


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Pints f Needles

Ta+e'

Atrau$ati#

Internal r%ans


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Pints f Needles

Cutting Cuttin% ed%e n

inside f #ir#le S"in

Trau$ati#


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Pints f Needles

Re/e'e Cutting

Cuttin% ed%e n

utside f #ir#le

S"in

Less trau$ati#

than #uttin%


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NEE+LE

@r he#tin% the s"in s#her(e nald

8trian%ular #rss/se#tin9

@r he#tin% the $us#le runde

nald

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