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A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread .
There are many different surgical specialties, some of which require specific kinds of surgical instruments to perform. General surgery is a specialty focused on the abdomen; the thyroid gland; diseases involving skin, breasts, and various soft tissues; trauma; peripheral vascular disease; hernias; and endoscopic procedures.
As straight-bladed Mayo scissors are also used for cutting sutures, they are also referred to as "suture scissors". Curved-bladed Mayo scissors allow deeper penetration into the wound than the type with straight blades. The curved style of Mayo scissor is used to cut thick tissues such as those found in the uterus, muscles, breast, and foot.
Metzenbaum scissors are surgical scissors designed for cutting delicate tissue and blunt dissection. The scissors come in variable lengths and have a relatively high shank-to-blade ratio. They are constructed of stainless steel and may have tungsten carbide cutting surface inserts.
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Catgut suture has excellent handling features, high knot-pull tensile strength, and good knot security. It is used for all surgical procedures including general closure, ophthalmic, orthopedics, obstetrics/gynecology and gastrointestinal surgery. It is absorbed faster in patients with cancer, anemia, and malnutrition.
They tend to absorb this suture at a higher rate. Special precautions should be taken in elderly patients and patients with history of anemia and malnutrition conditions. As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties. The PDS suture knots must be properly placed to be secure.
The vertical mattress stitch is most commonly used in anatomic locations which tend to invert, such as the posterior aspect of the neck, and sites of greater skin laxity such as the closure of lax skin after removing a dermoid cyst or reduced subcutaneous tissue (e.g., the shin) that do not provide adequate subcutaneous tissue for dermal closure. [6]
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