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The 2nd-century Roman physician Galen described sutures made of surgical gut or catgut. [27] In the 10th century, the catgut suture along with the surgery needle were used in operations by Abulcasis. [28] [29] The gut suture was similar to that of strings for violins, guitars, and tennis racquets and it involved harvesting sheep or cow ...
For all surgical procedures, especially for tissues that regenerate faster. Subcutaneous, intracutaneous closures, abdominal and thoracic surgeries: PDS is particularly useful where the combination of an adsorbable suture and extended wound support is desirable, pediatric cardiovascular surgery, ophthalmic surgery Contraindications
Catgut Chrome (B Braun) suture is a variant treated with chromic acid salts. This treatment produces roughly twice the stitch-holding time of plain catgut, but greater tissue inflammation occurs. Full tensile strength is extended to 18–21 days. It is brown rather than straw-colored, and has improved smoothness due to the dry presentation of ...
For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing.The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
Wound closure is performed with sutures (stitches), staples, or adhesive tape or glue. Primary intention can only be implemented when the wound is precise and there is minimal disruption to the local tissue and the epithelial basement membrane, e.g. surgical incisions. [102] This process is faster than healing by secondary intention. [101]
There are several methods that can be implemented to achieve primary closure of a wound, including suture, staples, skin adhesive, and surgical strips. Suture is the most frequently used for closure. [27] There are many types of suture, but broadly they can be categorized as absorbable vs non-absorbable and synthetic vs natural.
Surgery [a] is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissues (body fat, glands, scars ...
It is often used in conjunction with the absorbable suture Monocryl. Prolene is manufactured by Ethicon Inc., a subsidiary of Johnson & Johnson. It is produced in Cornelia, Georgia, USA. Prolene has also become the mainstay of vascular anastomoses and had facilitated significant advances in cardiac and vascular surgery.
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