In medical use an incision is an act of penetrating or to open something with a sharp edge which involves instruments, which are functioned to heal and repair the damage in a living body or while surgery is undergoing they arrest disease. Ethicon endo An incision is may be of following types named after medical terms:
Stomach incision called as gastromy
Abdominal incision called as laparotomy
Testis incision called orchotomy
Perineum incision called as perineotomy
Sub costal incision
Midline incision
Transverse incision etc…
Suture material:
Sutures are mainly of two types
' Absorbable Sutures
o Polyglycolic Acid Sutures
o Polyglactin 910 Sutures(viral)
o Catgut Sutures
o Poliglecaprone Sutures
o Polydioxanone Sutures
' Non-absorbable Sutures
o Polypropylene Sutures
o Polyamide / Nylon Sutures
o Polyester Sutures
o Silk Sutures
o Polyvinylidene fluoride / PVDF Sutures
o Stainless Steel Sutures
' Others:
o ethilon
monocryl
ethicon endo
Absorbable sutures include: - Polyglycolic Acid sutures, Polyglactin 910, Catgut, Poliglecaprone 25 and Polydioxanone sutures.
Non-Absorbable sutures include: - Polypropylene sutures, Nylon (poylamide), Polyester, and PVDF, silk and stainless steel sutures.
Vicryl sutures: (polyglactin 910)
Also categorized in an absorbable synthetic suture, indications are soft tissue approximation and ligation. This name is a trademark of Ethicon but generically meanings differ. It\'s actually suture made primarily of polyglycolic acid.
Monocycle: (poliglecaprone 25)
It\'s a copolymer of glycoside and epsilon-caprolactone. Two forms of monocycle are available in violet and clear form, dyed and undyed respectively.
Contraindications: neurological and cardiovascular tissues
Indications: microsurgery and ophthalmic
Have low tissue reactivity, high tensile strength, and has a short life of 7 to 14 days.
At 1 week: at 2 weeks Completed
It\'s in vivo its 20-30 and is essentially
Tensile strength is at undyed (30-40 dyed), completely hydrolyzed.
(50-60 undyed)
(60-70 dyed),
Polypropylene suture:
Indications: skin closure and general soft tissue
Advantages: minimal tissue reactivity also facilitates significant advancement in vascular and cardiac surgery.
Disadvantages: expensive, high plasticity, fragility
Monofilament and Multifilament Sutures:
They are also divided on the basis of filament used braided or multifilament bear better knot or secure well while on the other hand monofilaments offer better passage from tissues
These include:
Monofilament sutures include: - Polypropylene sutures, Catgut, Nylon, and PVDF, Stainless steel, Poliglecaprone and Polydioxanone sutures.
Multifilament or braided sutures include: - PGA sutures, Polyglactin 910, silk and polyester sutures.
Synthetic and natural sutures:
These are divided on bases of raw material that is natural and synthetic. Including silk, Catgut, etc…
Silk: made up of protein fibroin extruded from silk worm. Many of them are twisted into a single strand which vary in their diameters and are also available in natural colors or can be dye. Their firmness and strength minimizes the rise of tissue fluid also the attachment of tissue cells that may cause pinching pain or removal of applied sutures before healing of wound.
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