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CHAPTER 9

 

117

 

 

 

 

subcuticular technique, 19, 22

 

absorption rate, 14, 20-21

 

vertical mattress technique,

 

braided strands, 18

 

19, 24

 

breaking strength, 2,

 

SURGICAL GUT SUTURE, 12-14, 20,

 

20-21

 

 

58, 80, 90, 94, 109

 

in vivo strength,

 

chromic, 12-14, 20, 28, 32-33, 38,

 

20-21

 

 

80, 94, 97, 109

 

burst strength, 2

 

CHROMICIZING process,

 

monofilament strands,

 

14, 80

 

11-13, 15, 17, 24,

 

 

collagen pure, 12-14

 

31-32, 35, 83

 

 

fast-absorbing, 14, 27, 94

 

multifilament strands,

 

plain, 12-14, 20, 83, 94, 109

 

11, 16-17, 24, 29,

 

 

TRU-GAUGING process, 13, 85

 

31-33, 83

 

 

tubing fluid, 85

 

size, 10-11, 13-17, 28

 

SURGICAL SILK SUTURE, 13, 16, 28, 34

 

tensile strength, 2, 6,

 

See also PERMA-HAND Suture

 

10-17, 20, 23, 27, 31-

SURGICAL STAINLESS STEEL

 

33, 35, 38, 64, 66, 85

SUTURE, 13, 16-17, 20, 25, 58, 66, 85, 110

 

tissue reaction, 12, 14-15,

SUTURE, 10-40

 

16-18, 20, 24, 27,

 

absorbable suture, 12-16, 20, 23,

 

32-38

 

 

27-32, 34-39, 57-60,

 

labeling, 56-60

 

66, 80, 83, 85-86,

 

expiration date, 57, 60, 81

88-89

 

Food and Drug

 

See also Coated VICRYL

 

Administration (FDA), 12,

Suture; Coated VICRYL

 

57, 68, 81, 83

 

 

RAPIDE Suture;

 

lot number, 57

 

MONOCRYL Suture;

 

package insert, 57, 83

 

PDS II Suture;

 

product code, 57, 61, 84

 

surgical gut suture

 

manufacture, 13, 16, 42, 57

 

alloy suture, 16, 81, 85

 

nonabsorbable suture, 12-13,

 

wire gauge equivalents,

 

16-18, 20-24, 28-29, 31-34,

17

 

37-38, 40, 57, 66, 81-82

 

 

See also surgical stain-

 

See also ETHIBOND EXCEL

less steel suture;

 

Suture; ETHILON Suture;

temporary cardiac

 

MERSILENE Suture;

 

pacing wire

 

NUROLON Suture;

 

antibacterial suture, 10, 12, 15,

 

PROLENE Suture;

 

20-21

 

PRONOVA Suture;

 

Coated VICRYL Plus

 

surgical silk suture

 

Antibacterial Suture

 

nylon suture, 10, 13, 17, 20, 26,

characteristics, 10-11, 14, 16-17,

 

33, 35, 37, 40, 66, 81, 83, 93, 99

24, 32

 

See also ETHILON Suture;

 

absorption profile, 20-21

 

NUROLON Suture

 

hydrolysis, 16-17,

 

packaging, 10, 17, 56-65, 81-82, 84

32, 35

 

 

 

 

 

 

 

 

 

118 INDEX

dispenser boxes, 56-57, 60, 81, 83

environmentally conscious, 57 primary packets, 56-57 overwrap, 57, 59, 61-62,

64, 83 peelable foil, 58

single strand and multistrand packaging packets,

59, 82-83

E-PACK procedure kit, 54, 59, 61, 81

EASY ACCESS packaging, 81 ETHI-PACK pre-cut suture, 60, 81 GENTLE BEND package, 82

LABYRINTH package, 82 looped suture, 19, 77, 82

RELAY Delivery

System, 56-58, 60-61, 64, 84

SUTUPAK Suture, 58, 63, 85

storage racks, 56

IV pole racks, 56 modular storage racks, 56-57

polyester fiber suture, 13, 17-18, 20, 82, 92, 95, 96

See also ETHIBOND EXCEL

Suture

polypropylene suture, 18, 20, 25-26, 28, 30, 32, 36-39,

66, 82-84, 102, 104

See also PROLENE Suture sterilization, 57, 60, 85

SUTURE CUTTING, 26

SUTURE HANDLING, 10-11, 27, 63 sterile barrer, 61

sterile field, 53-54, 56, 59-62, 64

sterile technique, 27, 75, 85 sterile transfer, 56, 60-62 sterile sterilization, 60

SUTURE PREPARATION, 62 SUTURE REMOVAL, 11, 14, 26-27,

32-33, 35-36, 69

SUTURE TECHNIQUES, 28-34, 45

 

double-layer closure, 28

 

inverted closure technique, 29

 

single-layer closure, 28, 31

 

Smead-Jones far-and-

 

near technique, 31

 

See also ligatures; primary suture

 

line; secondary suture line

 

 

T

TAPES, 4, 32, 52, 56, 74-75

 

skin closure tapes, 32, 74-75

 

umbilical tape, 75, 85

 

See also MERSILENE Strip;

 

PROXI-STRIP Skin Closures

 

TENDON SURGERY, 39

 

Bunnell Technique, 37, 39

 

periosteum, 39, 47-48, 51

 

TISSUE ADHESIVES, 68-71

 

See also DERMABOND Adhesive

 

TISSUE STRENGTH, 2

 

breaking strength, 2

 

burst strength, 2

 

tensile strength, 2, 6, 10-17, 23

 

 

U

 

 

 

CHAPTER 9 119

V

VESSELS, 4, 6, 10, 14, 19, 24, 32,

37-38, 51, 59, 62, 75 pediatric, 15, 21, 75, 85

VICRYL KNITTED MESH, 10, 111 VICRYL PERIODONTAL MESH, 35-36,

86

VICRYL SUTURE, 10, 12, 14-15, 25, 34-35

VICRYL PLUS SUTURE, 10, 15, 20-21, 25 VICRYL WOVEN MESH, 30, 32, 112

W WOUND CLASSIFICATION, 5-6 clean, 4-6 clean-contaminated, 5-6 contaminated, 6-7, 18 dirty and infected, 5-7, 40

WOUND COMPLICATIONS, 3 dehiscence, 16, 39, 68, 74, 81 dehydration, 3

edema, 2, 5-6, 11, 77-78 epithelialization, 7, 33, 35, 68 infection, 2-7, 10-12, 27, 31-32,

35, 35-36, 38-40, 82 wound disruption, 23, 31, 86

WOUND HEALING, 2-7, 10 collagen formation, 7 dehydration, 3 primary intention, 6 second intention, 7

delayed primary closure, 7

NOTES

NOTES

NOTES