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Ideally, sutures bring together the wound edges, without causing indenting or blanching of the skin, [17] since the blood supply may be impeded and thus increase infection and scarring. [18] [19] Ideally, sutured skin rolls slightly outward from the wound (eversion), and the depth and width of the sutured flesh is roughly equal. [18]
Monocryl is a synthetic, absorbable suture manufactured in Cornelia, Georgia, USA, and trademarked by Ethicon. It is composed of poliglecaprone 25, which is a copolymer of glycolide and epsilon-caprolactone. [1] It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture.
vicryl sutures Lettering on Vicryl foil Vicryl (polyglactin 910) is an absorbable, synthetic, usually braided suture , manufactured by Ethicon Inc. , a subsidiary of Johnson and Johnson . A monofilament version is also made for use in ophthalmic practice.
A synthetic adsorbable suture material. Braided synthetic adsorbable multifilament made of polyglycolic acid and coated with N-laurin and L-lysine, which render the thread extremely smooth, soft and knot safe. A synthetic adsorbable suture material. Monofilament synthetic absorbable suture, prepared from the polyester, poly (p-dioxanone ...
Over-enthusiastic tightening increases the likelihood that the suture material cuts into the skin, bearing in mind the swelling that will ensue during wound healing. Bolstering (placing small rolls of gauze under the surface loops prior to tightening) prevents the suture material from cutting down into the skin.
The horizontal mattress stitch is a suture technique used to close wounds.It everts skin well and spreads tension along the wound edge. [1] [2] [3] This makes it ideal for holding together fragile skin [4] as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs.