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A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and size as well as thread material ...
Surgical staples are specialized staples used in surgery in place of sutures to close skin wounds or to resect and/or connect parts of an organ (e.g. bowels, stomach or lungs). The use of staples over sutures reduces the local inflammatory response, width of the wound, and time it takes to close a defect. [1]
One of the advantages of removable sutures is that the time of removal is controlled-- the doctor can specify exactly when to remove them. Optimal timing to minimize scarring varies for skin of different parts of the body. Absorbable sutures do not have timed dissolution and so there is more potential variability as to when they disappear.
It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form. Early or improper removal of sutures can sometimes lead to formation of seroma or discharge of serous fluid from operative areas.
It is naturally degraded by the body's own proteolytic enzymes. Full tensile strength remains for at least 7 days, and absorption is complete by 90 days. This eventual disintegration makes it good for use in rapidly healing tissues and in internal structures that cannot be re-accessed for suture removal.
For example, in gastrectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Gastro-" means stomach. Thus, gastrectomy refers to the surgical removal of the stomach (or sections thereof). "Otomy" means cutting into a part of the body; a gastrotomy would be cutting into, but not necessarily removing, the stomach. In addition ...
Metal sutures are removed after arterial injection, and the incision then tightly sutured with a running stitch. Sealing powder can be applied to protect against leakage, and glue is then applied over the surface of the incision. If the suture is visible, cyanoacrylate and/or a restorative suture is used. [21]
Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. [1] Examples include reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury.