Page 99 - Radiology Book

sutures
Simple Running
· Use nonabsorbable suture material (Nylon, Prolene, Ethilon).
· Make sure that a “dead space” will not be created and that there will not be too much tension on the closure.
· Simple interrupted stitch to start (tied at one end) and diagonally advanced along the wound
with perpendicular stitches underneath.
Subcuticular
· Use absorbable suture material (Monocryl, Vicryl).
· Bury the knots and suture by taking horizontal bites through the papillary dermis on alternating sides.
· Used for the best cosmetic result; approximates edges well. Best reserved for wounds in which tension is low or has been reduced with deep sutures.
Steri-Strips
Wound closure tapes, or Steri-Strips, are reinforced microporous surgical adhesive tape.
· Steri-Strips are used to provide extra support to a suture
line, either when running subcuticular sutures are used or
after sutures are removed.
· Wound closure tapes may reduce spreading of the scar
if they are kept in place for several weeks after suture removal. Often, they are used with a tissue adhesive. These tapes are rarely used for primary wound closure.
Staples
Stainless steel staples are frequently used in wounds under high tension, including wounds on the scalp and trunk.
· Advantages of staples include, quick placement, minimal
tissue reaction, low risk of infection, and strong wound
closure.
· Disadvantages include, less precise wound edge alignment
and cost.
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