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Surgical suture on needle holders. Catgut suture in a vintage glass dispenser. Catgut suture is a type of surgical suture made of twisted strands of purified collagen taken from the small intestine of domesticated ruminants or beef tendon. It is naturally degraded by the body's own proteolytic enzymes.
Adsorbable biological suture material. Chromic is an adsorbable suture made by twisting together strands of purified collagen taken from bovine intestines. Due to undergoing a ribbon stage chromicisation (treatment with chromic acid salts), the chromic offers roughly twice the stitch-holding time of plain catgut.
Common time to remove stitches will vary: facial wounds 3–5 days; scalp wound 7–10 days; limbs 10–14 days; joints 14 days; trunk of the body 7–10 days. [23] [better source needed] Removal of sutures is traditionally achieved by using forceps to hold the suture thread steady and pointed scalpel blades or scissors to cut.
Catgut sutures were used by the ancient Romans as early as the 2nd century CE. [138] [139] [140] They also used sutures with metallic hooks. [109] Celsus discusses other kinds of suturing techniques in his medical literature. He wrote that the wounds were to be stitched up. Roman doctors used linen, wool, silk, hair, and clips to seal wounds.
In general, the shorter the time any suture is in the skin, the smaller the scar. There is a trade-off with healing, areas such as the elbows and knees take longer to heal to the required strength than a face for example. The concern about scarring is limited to sutures in the skin.Dlodge 01:34, 26 January 2007 (UTC)
Stronger braided suturing thread is preferred because the knot has a tendency to fray as it is slid down the cannula. At the end of the running suture line, clips can be placed across the suture tail. Barbed suture is a knotless surgical suture that has a pattern of barbs on its surface. These barbs lock the suture into the tissue, eliminating ...
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]
That same year, Paul Leopold Friedrich introduced wound excision and experimentally showed that excision of open wounds substantially reduced the risk of infection. The next advances would arise from the development of polymer synthetics for wound dressings and the "rediscovery" of moist wound-site care protocols in the mid 20th century.