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Note – catgut is no longer used in the UK for human surgery. [citation needed] A synthetic adsorbable suture material. Braided synthetic adsorbable multifilament made of polyglycolic acid and coated with N-laurin and L-lysine, which render the thread extremely smooth, soft and knot safe. A synthetic adsorbable suture material.
Vicryl is a copolymer of lactide (a cyclic diester of lactic acid) and glycolide (a cyclic diester of glycolic acid). In practice, Vicryl comes braided, dyed or undyed with the following decay schedule: 75% at two weeks, 50% at three weeks, and 25% at four weeks (i.e., the sutures retain that proportion of tensile strength at those dates).
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 numerous types of suture which differ by needle shape and size as well as thread material ...
A singular 10-0 vicryl suture can secure the scleral flap and then the cheesewire suture can then be cut flush to the conjunctiva. The conjunctiva flap can be then secured with 26 10-0 vicryl sutures at either end of the limbus. A single 10-0 vicryl mattress suture can be placed in the middle. This entire process allows for blebs to be rescued. [5]
Monocryl is a synthetic, absorbable suture manufactured in Cornelia, Georgia, USA, and trademarked by Ethicon. It is composed of poliglecaprone 25, which is a copolymer of glycolide and epsilon-caprolactone. [1] It comes both dyed (violet) and undyed (clear) and is an absorbable monofilament suture.
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.
The horizontal mattress stitch is a suture technique used to close wounds.It everts skin well and spreads tension along the wound edge. [1] [2] [3] This makes it ideal for holding together fragile skin [4] as well as skin under high tension such as the distant edges of a large laceration or as the initial holding suture in complicated repairs.
In 1915, George F. Merson opened a facility in Edinburgh for the manufacturing, packaging and sterilising of catgut, silk and nylon sutures. Johnson & Johnson acquired Mr. Merson's company in 1947, and this was renamed Ethicon Suture Laboratories. [4] In 1953 this became Ethicon Inc. [5]
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