Question | Answer |
Advantages of Cat Gut | Good Handling; Minimal Capillary Action; Good Knot Security When Dry; Inexpensive (Reel) |
Disadvantages of Cat Gut | Reactive; Poor Knot Security When Wet; Not Autoclavable; Irritation From Packaging Liquids; Loss of Tensile Strength > Infected Wounds; |
Advantages of Chomic Gut over Cat Gut | Decreased Tissue Reaction; Increased Tensile Strength; Increased Resistance to Degradation; |
Advantages of Polyglactin 910 | Minimal Reactivity; Good Handling and Knot Security; Stable in Contaminated Wounds; Absorbed Predictably; Soft, Easy to Bury |
Classification of Surgical Gut | Abs/Nat/Multi |
Classification of Polyglactin 910 | Abs/Syn/Multi |
Brand Name of of Polyglactin 910 | Vicryl |
Disadvantages of Polyglactin 910 | Tissue Drag; Nidus For Urinary Calculi; Rapidly degraded in infected urine; rapidly hydrolyzed in alkaline environments |
Classification of Polyglycolic Acid | Abs/Syn/Multi(Braid) |
Advantages of Polyglycolic Acid | Minimal Reactivity; Good Handling and Knot Security; Stable in Contaminated Wounds; Absorbed Predictably; Soft, Easy to Bury |
Disadvantages of Polyglycolic Acid | Tissue Drag; Nidus For Urinary Calculi; Rapidly degraded in infected urine; rapidly hydrolyzed in alkaline environments |
Brand Name of Polyglycolic Acid | Dexon |
Common name of Vicryl | Polglactin 910 |
Common name of Dexon | Polyglycolic Acid |
Classification of Poliglecaprone | Abs/Syn/Mono |
Brand Name of Poliglecaprone | Monocryl |
Common name of Monocryl | Poliglecaprone |
Advantages of Poliglecaprone | Monofilament; Good Handling (Most Pliable); Little memory; Good Strength; Predicable Absorption; Minimally Reactive; Can Use in Contaminated Wounds |
Disadvantaged of Poliglecaprone | Expensive |
Brand name of Polydioxanone | PDS |
Common name of PDS | Polydioxanone |
Classification of Polydioxanone | Abs/Syn/Mono |
Advantages of Polydioxanone | Minimally Reactive; No Capillarity or Drag; Good Handling and Knot Security; Predictable Absorption; Good in Contaminated Sites |
Disadvantages of Polydioxanone | Expensive; Tendency to Kink; Clear Product = Difficult to See |
Brand name of Polyglyconate | Maxon |
Common Name of Maxon | Polyglyconate |
Classification of Polyglyconate | Abs/Syn/Mono |
Advantages of Polyglyconate | Minimally Reactive; No Capillarity or Drag; Good Handling and Knot Security; Predictable Absorption; Good in Contaminated Sites |
Disadvantages of Polyglyconate | Expensive; Tendency to Kink; Clear Product = Difficult to See |
Classification of Silk | NonAbs/Nat/Multi(Braided) |
Advantages of Silk | Excellent Handling Properties; Inexpensive; Individual Strands; Good Initial Tensile Strength |
Disadvantages of Silk | Moderate Tissue Reaction and Capillarity; Potentiate Infection; Poor to Fair Knot Security; Loses Tensile Strength When Wet |
Brand name of Nylon | Dermalon |
Common name of Dermalon | Nylon |
Classification of Nylon | NonAbs/Syn/Mono |
Advantages of Nylon | Minimal Reactivity; Biologically Inert; Non-capillarity; By-Products = Antibacterial; Inexpensive |
Disadvantages of Nylon | “Memory”; Poor Handling; Poor Knot Security (Low Coefficient Of Friction); Suture Ends Can Cause Irritation |
Brand Names (2) of Plypropylene | Prolene & Surgilene |
Common name of Prolene | Polypropylene |
Common name of Surgilene | Polypropylene |
Classification of Polypropylene | NonAbs/Syn/Mono |
Advantages of Polypropylene | Inert -Minimal Tissue Reaction; Excellent Knot Security; Contaminated Wounds |
Disadvantages of Polypropylene | “Slippery” Handling; “Memory” |
Brand Name of Polymerized Caprolactum | Braunamid |
Common name of Braunamid | Polymerized Caprolactum |
Classification of Polymerized Caprolactum | NonAbs/Syn/Multi |
Advantages of Polymerized Caprolactum | Good Handling; Inexpensive; Good Tensile Strength |
Disadvantages of Polymerized Caprolactum | Extremely Tissue Reactive; Not Sterile |
List the absorbable suture materials from shortest to longest tensile strength retention. | Momocryl (Poliglecaprone); Surgical Gut; Vicryl (Polyglactin 910); Dexon (Polyglycolic Acid); PDS (Polydioxanone) & Maxon (Polyglyconate) |
Advantages of Cryanoacrylate adhesives | Ease of Use; Rapid Polymerization; Strong Bond; Nontoxic; Good tissue apposition |
Disadvantages of Cryanoacrylate adhesives | Slow biodegredation; Potential foreign body reaction; poor adhesive action in wet tissue; poor in contaminated or infected wounds |