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st 106
SUTURES AND NEEDLES
48
Health Care
Professional
06/08/2009

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Term
ATRAUMATIC
Definition
CAUSES MINIMAL TISSUE TRAUMA
Term
APPROXIMATION
Definition
BRINGING TOGETHER TWO SIDES OR EDGES
Term
BLEEDER
Definition
SEVERED BLOOD VESSEL
Term
CONTINUOUS TIES
Definition
CONTINUOUS RUNNING SUTURE
Term
ENZYME
Definition
SUBSTANCE WITHIN YOUR TISSUE CELLS THAT BREAK DOWN THE SUTURE
Term
FREE TIE
Definition
SINGLE STRAND OF SUTURE
Term
FRIABLE
Definition
REFERS TO ANY TISSUE THAT IS EASILY TORN
Term
LIGATE
Definition
TIE A STRUCTURE SUCH AS A VESSEL
Term
SUTURE ROUTINE
Definition
SURGEON'S USUAL PREFERENCE ON SUTURE MATERIAL AND SIZES
Term
SWAGED
Definition
WHEN THE SUTURE IS ATTACHED TO THE INSIDE OF THE NEEDLE;EYELESS NEEDLE
Term
TIE ON PASSER
Definition
SUTURE STRAND ATTACHED TO A CLAMP GENERALLY USED TO LIGATE IN DEEP AREAS WITH MINIMAL EXPOSURE
Term
TRACTION SUTURE
Definition
SUTURE STRAND USUALLY NON-ABSORBABLE PLACED AROUND A STRUCTURE FOR RETRACTION TO THE SIDE OF THE SURGICAL FIELD
Term
WOUND DISRUPTION
Definition
INFLAMMATION OF A SUTURE
Term
LIST FUNCTIONS OF SUTURE MATERIAL
Definition
1. PROVIDES METHOD OF HEMOSTASIS 2. PROVIDES TISSUE APPROXIMATION 3. TIE OFF TISSUE TO BE REMOVED OR LIGATED 4. HOLDS TISSUES TOGETHER UNTIL HEALING TAKES PLACE 5. PROVIDES STRENGTH TO THE WOUND AFTER THE INCISION IS CLOSED
Term
STICK TIE
Definition
USED FOR HEMOSTASIS
Term
FREE TIE
Definition
USED FOR LIGATING
Term
(characteristics of suture material) ELASTICITY
Definition
ABILITY TO BE STRETCHED OR EXPANDED
Term
(characteristics of suture material) infection potential
Definition
the expected suture reaction when infection is present
Term
(characteristics of suture material) memory
Definition
ability to return to former condition
Term
(characteristics of suture material) pliability
Definition
ability to bend freely and repeatedly without breaking
Term
(major types of suture material)
natural
Definition
suture made of materials that are produced by or that exist in nature
Term
(major types of suture material)
*non-absorbable*
Definition
suture that effectively resists enzymatic digestion in living tissue
Term
(major types of suture material)
absorbable
Definition
suture that is capable of being absorbed by living mammalian tissue
Term
(major types of suture material)
*synthetic*
Definition
suture produced artificially from chemicals
Term
(classifications of suture materials) *Surgilon*
Definition
nonabsorbable synthetic suture *nylon, surgilon*
Term
(classification of suture materials) surgical steel
Definition
non absorbable synthetic suture
Term
(classifications of surgical material) *surgical gut-chromic*
Definition
absorbable natural suture
Term
surgical silk
Definition
nonabsorbable natural suture
Term
surgical cotton
Definition
nonabsorbable natural suture
Term
*surgical gut-plain*
Definition
sheep intestine, pig, plain or chromic; absorbable natural suture
Term
(suture selection)
Definition
*****KNOTS MUST HOLD SECURELY WITHOUT FRAYING OR SLIPPING****
Term
suture selection
Definition
**the material must be sterile**
Term
suture selection
Definition
**the material should not shrink in tissue fluids**
Term
suture selection
Definition
**the material must be nonelectrolytic, noncapillary, nonallergenic, and noncarcinogenic***
Term
suture selection
Definition
*the suture used must be as small in diameter as possible*
Term
suture selection
Definition
**the absorbability time of the material must correspond to the rate of healing time of the tissue into which it will be placed **
Term
suture techniques
**interrupted**
Definition
**if a stitch breaks, the remainder of the wound will stay intact**
Term
*(characteristics of retention sutures)*
Definition
1***consist of HEAVY nonabsorbable sutures 2. are placed through all or most of the tissue layers a distance OUT from the primary suture line (1-2 inches) 3. bumpers or bulsters are placed at the insertion site to protect the skin from this suture 4. are used to reinforce the PRIMARY sutures 5. DECREASE dead space***
Term
*suture preparation*
Definition
**1. suture materials are VERY expensive, therefore, open only what you need 2. the outer peel-pack wrapper is nonsterile and is opened by the circulator using sterile technique 3. saving the packet is useful for product ID during procedures for questions and discretion on needle count**
Term
**statements concerning guidelines for handling suture**
Definition
*** silk suture should be kept DRY because it is stronger when dry***
Term
**surgical staples and ligating clips**
Definition
**staples and clips are available in absorbable or nonabsorbable 2. staples and clips are available as color coded, disposable cartridges or preloaded into disposable instruments 3. staples are commonly used in thoracic, abdominal, gyno, neuro and in general closure 4. ligating clips are used to occlude vessels 5. decrease operative time and tissue handling which can result in less inflammation
Term
**needle selection**
Definition
**generally the deeper the wound, the greater the curvature of the needle (easier on the doctor or surgeon) 2. straight needles are generally used on skin and superficial wounds 3. blunt needles are used for suturing friable tissue such as intestine, peritoneum, and spleen 4. needles with cutting shafts are used for tough, heavy tissues **
Term
**handling of surgical needles**
Definition
** 1. always protect needle sharpness 2. if needle defects or burrs are noted, discard the needle 3. if needle breaks, ALL pieces must be accounted for 4. dispose of needle according to hospital policies and procedures
Term
**needles in the sterile field**
Definition
***in package, needle magnet, clamped in needle holder****
Term
**ABSORBABLE NATURAL SUTURE MATERIAL**
Definition
1. SURGICAL GUT 2. COLLAGEN 3 FAST ABSORBING GUT
Term
**ABSORBABLE SYNTHETIC SUTURE MATERIAL**
Definition
***POLYGLACTIN 910, 2. POLOYGLYCOLIC ACID 3. POLYDIOXANONE 4. POLYGLYCONATE***
Term
**NON-ABSORBABLE NATURAL SUTURE MATERIAL **
Definition
** 1. SILK 2. COTTON 3 LINEN 4. STEEL **
Term
**NON ABSORBABLE SYNTHETIC SUTURE MATERIAL**
Definition
1. NYLON 2. POLYESTER FIBER 3 POLYPROPYLENE 4. POLYBUTESTER 5. POLYETHYLENE **
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