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Suture Material

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