COMMON SUTURES AND THEIR USES

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Knowledge of  common sutures used  in  suturing  a patient during operation or in hospital is very essential for Nurse . There are various sutures used in hospital . some of sutures are absorable and some of them  are  non absorable . 

                        Today you will able to learn about various types of sutures and their uses which are commonly used during  major surgeries and also in minor surgeries . you will able  know their uses and thier types . 
         
                       This will help in your competition examination as well as in your clinical posting in operation theatre ( OT )  and minor OT . It will give you basic knowledge about sutures and therir uses . All These Will help in cracking Nursing Officer / staff Nurse examination like AIIMS NORCET  , PGIMER, DSSSB , RAILWAY, ESIC , GMCH And other STATE EXAMINATION 

COMMON SUTURES AND THEIR USES 


SUTURES uses




                   ABSORABLE SUTURES 


1. PLAIN CATGUT ( 7 DAY CATGUT ) :-

  • Catgut is derived from the sub mucosa of the sheep intestine .
  • The plain catgut lasts 7 to 10 days .hence its use is minimal .
  • It can be used to put  fat stiches (Subcutaneous fat ) . 
  • It is biological, absorable and monofilament suture material .
  • Colour of plain catgut is    YELLOW 


2. CHROMIC  CATGUT ( 21 DAYS CATGUT ) :- 


  • When  plain catgut is mixed with chromic salts , chromic catgut is obtainned .
  • The strenth of chromic catgut is abt 15 – 25 days .
  • Used in intestinal anastomosis, closure of urinary bladder , closure of common bile duct.
  • It is biological, absorable and monofilament suture material .
  • The catgut is preserved in 70 %  alcohol and kept soft due to 5 % glycerine .
  • Colour of CHROMIC CATGUT IS  BROWN .



3. VICRYL ( POLYGLACTIN ) :-


  • Vicryl  is copolymer of glycolide and lactide .
  • Vicryl is synthetic and absorable suture 
  • Vicryl  is absorbed by hydrolysis .
  • Vicryl in small ontestine and colonic anastomosis .
  • Being synthetic tissue reaction is less than chromic catgut .
  • vicryl can be used in presence of infection .
  • Colour of vicryl  is violet 



4 . DEXON  (POLYGLYCOLIC ACID ) :-


  • Dexon or polyglycolic acid  is synthetic absorable 
  • Braided 
  • Dexon or polyglycolic acid used like vicryl .
  •  colour of dexon is creamy yellow 

5 . PDS ( POLYDIOXANONE SUTURE ) 



  • It is vicryl 
  • costly
  • creamy in colour 


         SUTURE MATERIAL           

                 COLOUR

PLAIN CATGUT
       YELLOW
CHROMIC CATGUT
        BROWN
VICRYL
        VIOLET
DEXON
        CREAMY YELLOW
PDS
         CREAMY
PROLENE
         BLUE
SILK
          BLACK
COTTON
          WHITE



                     NONABSORABLE SUTURES


1 . PROLENE  : –

  • It is polypropylene and nonabsorable 
  • It is non filament, Artificial and uncoated 
  • Chances of infection are less in prolene use 
  • used in abdominal closure , repair of hernias .
  • colour of prolene is BLUE 

2 . SUTUPACK :-

  • Sutupack  is nonfilament or multifilament polyamide .
  • Sutupack uses are similar to prolene
  • Colour of sutupack Black 


3 . MERSILK :- 

  • Mersilk  is Nonabsorable , braided silk 
  • Mersilk is Black in colour 
  • Mersilk is provided with round body needle
  • Mersilk is used in ligating bleeding points or anastomosis



4 . BLACK SILK : –


  • Black Silk is Nonabsorable suture
  • Black Silk  is derived from cocoon of silkworm larva .
  • Tissue reaction is more with black silk bcz it is a foreign protein 
  • Black in colour

5 . COTTON : –


  • White in colour
  • Multifilament 
  • infection rate is high 
  • Cottton is Nonabsorable and cheap 



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