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7/27/2019 Benang Dan Jarum Jahit
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Classification of Sutures
Monofilament Multifilament
Synthetic Biological
Absorbable Non - Absorbable
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Monofilament
Advantages
Smooth surface
Less tissue trauma
No bacterial harbours
No capillarity
Disadvantages
Handling & knotting
Ends/knot burial
Stretch
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Multifilament
Advantages
Strength
Soft & pliable
Good handling
Good knotting
Disadvantages
Bacterial harbours
Capillary action
Tissue trauma
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Synthetic
Advantages
Non-Absorbables are inert
Absorbables resemblenatural substances
Absorption by hydrolysis
Predictable absorption
Strength
Disadvantages
Monofilament handling
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Biological
Advantages
Handling & knotting
Economy
Disadvantages
Tissue reactions
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Absorbable
Advantages
Broken down by body
No foreign body left
Disadvantages
Consideration of
wound support time
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BIOLOGICAL
MERSILK* Suture MERSILENE* Suture
ETHIBOND* Suture
PROLENE* Suture
PRONOVA* Suture
ETHILON* Suture
NUROLON* Suture
Stainless Steel Wire
Coated VICRYL* Suture
PDS*II Suture
VICRYL* rapideSuture
Monofilament version VICRYL* Suture available for use in ophthalmic surgery
MERSILENE* Suture - trochanter suture is braided
BIOLOGICAL SYNTHETIC
ABSORBABLENON-ABSORBABLE
SYNTHETIC
ETHICON Sutures
MONOCRYL* Suture
Coated VICRYL* PlusSuture
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ETHICON Absorbable Sutures
VICRYL* rapide
MONOCRYL*
Coated VICRYL*
Coated VICRYL*
PlusAntibacterialSuture
PDS* II
Skin
Perineum
Oral Lacerations
Traumatology
Ligaments
Fascia
Vessel anastomosis
10 days By 42 daysWound Suppor t Mass Absorp t ion Typical Uses
30 days
60 days
20 days
30 days 56 - 70 days
90 - 120 days
56 - 70 days
180 - 210 days
Ligature
General
Bowel
Orthopaedics
Ligature General
Bowel
Ophthalmic
Ligature
Mucosa
Obstetrics
Bowel
Skin
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Volume %
Reduction With
Decreasing Size
2/0
3/0
4/0
5/0
6/07/0
8/0
2/0
3/0
4/0
5/0
6/07/0
8/0
51%
40%
49%
54%
50%
44%
51%
40%
49%
54%
50%
44%
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Anatomy of a Surgical Needle
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Use of Needle Holders
Loading
Needle
Needle
passing
through
skin
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Needle Shapes
Eye
Microsurgery
Dura
Eye
FasciaNerve
Muscle
Eye
Skin
Peritoneum
Cardiovascular
Oral
Pelvis
Urogenital tract
Nasal cavity
Nerve
Skin
Tendon
Eye (Anterior
segment)
Laparoscopy
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Round Bodied Needles
TAPERPOINT
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Cutting Needles
Conventional Cutting
Reverse Cutting
PRIME
P Needle
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Packaging
Expiry dateBatch NumberDo Not Re-use
Product (re-order) CodeImperial GaugeMetric Gauge
Needle size
& curvature
Needle type
Needle point
See Instructions
for use
Needle profile
Sterilised
Ethylene Oxide
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Skin Adhesive: key points
Butyl or 2-octyl Cyanoacrylate
Topical i.e. not to be put into the wound
Low tension dry & haemostatic wounds
2-octyl cyanoacrylate provides a
waterproof microbial barrier
Patients may prefer wound aftercare
Always read manufacturers instructions