Suture Techniques

2022 ◽  
pp. 39-50
Author(s):  
Michele Maruccia ◽  
Rossella Elia ◽  
Paolo Claudio Marannino
Keyword(s):  
Suture Techniques

Suture techniques in caesarean section

2020 ◽  
Vol 3 (29) ◽  
pp. 20
Author(s):  
Ducu Ioniţă ◽  
Natalia Turcan ◽  
Roxana-Elena Bohîlţea
Keyword(s):  
Caesarean Section ◽  
Suture Techniques

641 What Is the Most Reliable Way to Secure A Surgical Drain?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
B Hughes ◽  
J Stallard ◽  
S Jivan
Keyword(s):  
Suture Material ◽  
Suture Techniques ◽  
Robust Method ◽  
Suturing Technique ◽  
The Moment ◽  
Tissue Reactions ◽  
Surgical Drain

Abstract Introduction Surgical drains are used by many specialities, we aim to determine the most robust method of securing them by comparing suturing technique, material and fixation angle. Method A Blake’s drain was inserted into a piece of pork belly and secured using a standard ‘three half hitch’ technique with 3.0 Silk, EthilonTM and ProleneTM . For each suture type, drains were sutured in line, at 45 and 90 degrees to the course of the drain. The force needed for the suture to failure was measured and each repeated 3 times. Different suture techniques were then used to determine the strongest fixation. Results With the drain exiting inline the moment of failure was, on average, 1.25kg for silk, 3.5kg for EthilonTM and 4.0kg for ProleneTM. Increasing drain fixation angle required more force for the suture to fail. With EthilonTM and ProleneTM, the suture snapped before the drain slipped. Three half hitches was the strongest technique. Conclusions Suture material, technique and drain fixation angle had an impact on suture strength with ProleneTM outperforming Silk. We advocate using a ‘three half hitch’ technique with 3.0 ProleneTM to secure a surgical drain. It offers superior strength whilst reducing the risk of localised tissue reactions.

Use of Continuous Horizontal Mattress Suture Techniques in Microsurgery: An Experimental Study in Rats

2005 ◽  
Vol 30 (3) ◽  
pp. 587-595 ◽  
Author(s):  
Cihangir Tetik ◽  
Mehmet Bekir Ünal ◽  
Barış Kocaoǧlu ◽  
Bülent Erol
Keyword(s):  
Experimental Study ◽  
Suture Techniques ◽  
Mattress Suture ◽  
Horizontal Mattress Suture

Comparison of three purse-string suture techniques for prevention of anal leakage during surgery

2021 ◽  
pp. 1-5
Author(s):  
Jo Anne Au Yong ◽  
Daniel D. Smeak
Keyword(s):  
Clinical Relevance ◽  
Suture Technique ◽  
Suture Techniques ◽  
Leak Pressure ◽  
Purse String Suture ◽  
Purse String ◽  
Pressure Testing ◽  
Nylon Suture ◽  
Cutaneous Tissue ◽  
Suture Placement

Abstract OBJECTIVE To compare 3 anal purse-string suture techniques for resistance to leakage and to identify the suture technique requiring the fewest tissue bites to create a consistent leak-proof orifice closure. ANIMALS 18 large-breed canine cadavers. PROCEDURES 3 purse-string suture techniques (3 bites with 0.5 cm between bites [technique A], 5 bites with 0.5 cm between bites [technique B], and 3 bites with 1.0 cm between bites [technique C]) were evaluated. Each technique involved 2-0 monofilament nylon suture that was placed in the cutaneous tissue around the anus and knotted with 6 square throws. Standardized 2.0-cm-diameter circular templates with the designated bite number and spacing indicated were used for suture placement. Leak-pressure testing was performed, and the pressure at which saline was first observed leaking from the anus was recorded. The median and interquartile (25th to 75th percentile) range (IQR) were compared among 3 techniques. RESULTS Median leak pressure for technique A (101 mm Hg; IQR, 35 to 131.3 mm Hg) was significantly greater than that for technique C (19 mm Hg; IQR, 14.3 to 25.3 mm Hg). Median pressure did not differ between techniques A and B (50 mm Hg; IQR, 32.5 to 65 mm Hg) or between techniques B and C. CLINICAL RELEVANCE Placement of an anal purse-string suture prevented leakage at physiologic colonic and rectal pressures, regardless of technique. Placement of 3 bites 0.5 cm apart (technique A) is recommended because it used the fewest number of bites and had the highest resistance to leakage.

Endonasal Suture Techniques in Tip Rhinoplasty

2009 ◽  
Vol 17 (1) ◽  
pp. 41-54 ◽  
Author(s):  
Stephen Perkins ◽  
Amit Patel
Keyword(s):  
Suture Techniques ◽  
Tip Rhinoplasty

Comparison of light-activated surgical adhesive and suture techniques for vascular repair: an in-vivo study

2002 ◽  
Author(s):  
Eric C. Soller ◽  
Grant T. Hoffman ◽  
Jill N. Riley ◽  
Tonya J. Dickson ◽  
Pamela Rogers ◽  
...  
Keyword(s):  
Suture Techniques ◽  
In Vivo Study ◽  
Vascular Repair ◽  
Surgical Adhesive
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