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What is a single suture strand called? - ANSWER✔✔ Monofilament; more
resistant to harboring microorganisms.
What are several filaments twisted or braided together called? - ANSWER✔✔
Multifilament; They are less stiff, have greater tensile strength but fluid may be
absorbed along the filament to introduce pathogens. Infection risk!
What are absorbable sutures? - ANSWER✔✔ Two types: Natural-surgical gut;
plain or surgical gut chromic (treated with chromium salt)
Synthetic polymers-Vicryl (braided suture) or monocryl (monofilament)
How do you determine the diameter of a suture? - ANSWER✔✔ The smaller the
number, the larger the strand. Ex: a 2-0 is larger than 5-0 suture.
What size suture would you use for the face? - ANSWER✔✔ 5-0 or 6-0
What size suture would you use for the scalp? - ANSWER✔✔ 4-0
What size suture would you use for the upper body? - ANSWER✔✔ 4-0
,What size suture would you use for the hand? - ANSWER✔✔ 4-0 or 5-0
What size suture would you use for the lower body? - ANSWER✔✔ 4-0
What size suture would you use over a joint? - ANSWER✔✔ 4-0
What are non-absorbable sutures? - ANSWER✔✔ Two types: Natural-Surgical silk
Synthetic-Nylon (Ethilon) or Polyprolene (Prolene)
What suture pattern would be used for a laceration with irregular edges? -
ANSWER✔✔ Interrupted
What suture pattern is best for high tension wounds, palms/feet or over joint areas?
- ANSWER✔✔ Horizontal mattress
What suture pattern is best for loose/thin skin? - ANSWER✔✔ Vertical mattress
What suture pattern would be used on lacerations with low risk for infection and
low wound tension? - ANSWER✔✔ Continuous
How far apart should two sutures be from one another? - ANSWER✔✔ No closer
than 2 mm in a fine plastic closure. The distance between sutures should equal half
the total distance across the incision.
When should sutures be removed from the face? - ANSWER✔✔ 4-5 days
, When should sutures be removed from the scalp? - ANSWER✔✔ 10-14 days
When should sutures be removed from the upper body? - ANSWER✔✔ 7-10 days
When should sutures be removed from the hand? - ANSWER✔✔ 7-10 days
What are other methods of wound repair/closure? - ANSWER✔✔ Tape, adhesives
or staples
What needs to be documented/coded when suturing? - ANSWER✔✔ Lesion
location, lesion size, benign/malignant (discuss path report), and closure.
What needs to be documented for wound repair? - ANSWER✔✔ laceration length
and location, any neurovascular damage distal to the injury, laceration clean or
contaminated, anesthetic medication used, how the wound was cleansed, suture
size, number and layer sutured (skin, dermis, fascia) and discussion of potential for
infection or impaired function.
What should be considered for post procedural care? - ANSWER✔✔ Cleansing,
antibiotics (if needed), use of steri-strips after suture removal to decrease wound
tension and applying sunscreen to the area for at least 6 months to reduce scarring.
What history should be obtained with laceration injuries? - ANSWER✔✔ When
did it occur (greater than 12-24 hours)?
Where did it occur (dirty vs. clean)?
Any foreign body?
What was the mechanism of injury (sharp, blunt, animal bite, human bite,
puncture?)
What are present symptoms and care prior to arrival?