2013年6月20日星期四

Several surgical sutures have?

Surgical suture line refers to the surgery, or trauma treatment, used for ligation hemostasis, suture hemostasis and the special line of repair method.


Generally can be divided into absorbable surgical suture and an absorption surgical suture two broad categories:
Line can be absorbed
Absorbable surgical suture according to different material and absorption degree is divided into: gut line (PGA), chemical synthesis, natural collagen suture.
1, gut: originated from healthy animals out of sheep. Sheep, contains collagen ingredients, so don't need to remove stitches later. Medical gut points: normal gut and chromic catgut, all can be absorbed. Absorption of the length of time required, according to the thickness of gut and organization, can absorb 6 ~ 20 days commonly, but individual differences of patients with absorption process, and even do not absorb. The gut adopts disposable aseptic packaging, easy to use.
(1) normal gut: made of sheep or cows intestinal submucosa organization absorptive suture. Absorption of fast, but the response of catgut slightly larger. Used to heal more quickly or subcutaneous tissue, blood vessels and suture ligation of infected wounds, etc. Generally used in the uterus, bladder mucosal layer, etc.
(2) the chromic catgut: the gut of chromate treatment, can slow down the absorption rate, it caused less inflammatory response than normal gut. More commonly used in gynecology and urinary surgery, kidney and ureter surgery is often chosen stitches, because threads will promote stone formation. Use saline soak when using, after being to soften straight, in order to facilitate operation.
2, chemical synthetic line (PGA, PGLA, PLA) : USES the modern chemical technology made of a kind of linear polymer material, the suction line and coating, etc, generally 60  ̄ 90 days absorption, absorption of stability, participation due to the chemical composition, absorption is still incomplete.
3, pure natural collagen suture: otters raccoon dog tendon parts made from special animals, natural collagen content high, the production process without any chemical composition, has the characteristics of the collagen is due; As the fourth generation of sutures in the true sense. Has absorbed completely, high tensile strength, biocompatibility, promote cell growth, and so on. According to the thickness of line structures generally 8-50 days completely absorbed, and the absorption of stable and reliable, no obvious individual differences.
Do not absorb the surgical suturesThat cannot be absorbed sutures, so need to remove the after stitching. Take out stitches specific time due to the stitching part and differences among the wound and the patient's condition, when the abnormal situation such as good wound healing without infection: face and neck take out stitches 4 ~ 5 days; Lower abdomen, perineum 6 ~ 7; On the chest, abdomen, back, buttocks 7 ~ 9; Limbs 10 ~ 12, near joints may be extended for some minus 14 Japan can remove the stitches. To malnutrition, notch tension is bigger, special circumstances can consider to take out stitches, extend time. Teenagers take out stitches can shorten time, old age, diabetes, chronic diseases, can take out stitches delay time. Postoperative wound has obvious infection such as red, swollen, heat, pain, should take out stitches in advance. In case any of the following circumstance, take out stitches should be delayed:
1. The severe anemia, angular, mild cachexia.
2. The serious water loss or water electrolyte disorder has not been correct.
3. Older patients and infants and young children.
When there is no control 4. Cough, chest, abdomen incision take out stitches should be delayed.
www.medical-supplies.cc

没有评论:

发表评论