What is Suture? What are the Types of Sutures? (2)
It is critical to protect the integrity of the tissue during the suture process, and in this context, sutures that will cause the least tissue trauma are preferred according to the type of surgical intervention in order not to damage it. Since the usage areas of the surgical thread / suture are quite wide, it is important to choose the correct suture for the need.
Another important suture category is monofilament and multifilament. Monofilament sutures are, as the name suggests, single filaments with less surface area than multifilament (braided or twisted suture). Monofilament sutures have higher adhesion memory. These sutures require more knots for security purposes but tend to break less than multi-filament sutures. They pass through tissues more easily and cause less inflammatory reactions than their multifilament counterparts. Conversely, multifilament sutures are more flexible; They keep knots more secure, have lower memory, but allow the surgeon to hold it more easily. Multifilament sutures cause more friction in the tissue and increase the capillaries and their surface area, increasing their susceptibility to inflammation and infection. Multifilament sutures can be coated with antibiotics to make them more resistant to infection, so they slide through tissues more easily and have properties more similar to monofilament sutures. These are more costly stitches than traditional stitches.
Most sutures have a smooth surface. However, there are newer stitches produced with barbs. These spines help close wounds and do not require knots for safety. They distribute tension more evenly throughout the wound. It is also known that these stitches save more time. They distribute the tension more evenly throughout the wound to be implanted. It is also known that these stitches are more time efficient.Any suture can have dye additions. Paint helps visualize the suture. However, if the stitches are under the epidermis (the outermost of the three layers that make up the skin), it is preferred not to be spotted so that they are not visible. Another critical property of this suture is its tensile or tensile strength, which usually comes from the width of the suture. Stitches are numbered according to their diameter and size. Thick stitch numbering is from 0 to 10, and number 10 is the largest diameter. Fine stitches are seams ranging from 1-0 to 12-0 (12-0 with the least tensile strength), with the least zero behind them. There is approximately 0.01 to 0.05 mm diameter difference between the dimensions.
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