General Principles of Suturing
Many people are not aware of it but wounds are generally get healed or closed in two ways—primary and secondary. While primary closures heal within a short span of time and do not require much medical attention, a secondary closure requireslonger time to properly heal and needs proper medical assistance.
Applying regular medicinal ointments and warm dressing on a primary wound effortlessly does the job but secondary closures require suturing that has to be carried out under the right medical supervision.
Truth be told, an ideal suture is hard to find because it should be biologically inert and have no tissue reaction. This is the reason why one should buy sutures from a trusted medical device companylike Smart Medical Buyer that guarantees good quality.
Some of the characteristics of a good quality suture are:
- Made from strong material or polymer
- Effortlessly dissolves with body fluids
- Strengthens at the same rate as the tissue
Suture material can be further divided into two categories—absorbable one and non-absorbable one. Absorbable suture are of biological origin which is why they can be easily digested by tissue enzymes of our body. They are generally made from material like catgut or synthetic polymers that get easily dissolved in tissue fluids. Non-absorbable sutures on the other hand, are made from material like nylon or other non-biodegradable material that has to be removed manually after a period of time. In order to know stratafix suture price,visit Smart Medical Buyer.
Besides the above mentioned categories, there are other three types that have become popular among surgeons off-lately:
Natural Sutures: Made from Plant or animal material
Synthetic Suture Material: Synthesized with a wide range of polymers. Highly un-reactive anduniform in nature.
Braided or Multifilament suture: They are made from several filaments with multiple materials tied in a form of braid.
Suture equipment preparation usually follows an aseptic technique because any kind of contamination around the wound can lead to several problems. Usually the given below procedure is followed to prevent pathogenic microorganisms:
- Since hands are a common route for various infections, covering your hands with gloves is important before proceeding.
- Use protective clothing, sterile gloves, and forceps
- Sterilizing all instruments, fluids, and material is important
- Dressing trolley should also be properly cleaned
After picking a right suture for their patient, the next important task for the surgeon is examining the condition of wound and deciding how to go about it. There are several points that he must ponder upon because a small mistake can lead to complicated medical issues. Let’s discuss it in a bit more detail.
In case of slow healing wounds
In case of slow healing wounds such as fascia and tendons, non-absorbable sutures should be applied. When the wound reaches its maximal strength, they should be removed. In these cases the doctor must be aware about the time span of healing as keeping the suture there for a longer time can lead to medical issues. These sutures are usually applied for the injuries related to stomach, colon, and bladder.
In case of potentially contaminated wounds
Patients who are bought to hospital after a bad road accident are usually affected with such kind of wounds. Since, this injury is at high risk of developing an infection, the surgeon has to be very accurate while dressing. It is suggested to use absorbable and monofilament sutures in such cases. Avoid multifilament sutures as they can further damage the situation. Stratafix sutures prices in India are extremely attractive and thus should be highly considered.
In case of Cosmetic surgeries
In these cases, doctors are supposed to produce the best possible result for the patient, which is why using inert monofilament suture or non-absorbable sutures made of nylon and polypropylene are good to go. Skin sutures should be completely avoided. Also, instead of using sutures, doctors can also use skin adhesives such asDermabond Topical Skin or Vetbondaround skin edges.
Once you are done deciding what kind of suture you are going to use; the very next task is deciding the size of suture that you have to cut. A good surgeon always goes for the finest size that goes precisely with the natural strength of the tissue. Once the wound is stabilized to a degree it should be removed immediately.
As easy as it may seem, selecting a right suture for a wound is not an easy task. Besides seeing its material, you should also consider important things like—does it involve in kind of risks? Is it good enough to be applied on the skin? Quality should always be your utmost priority.