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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 numerous types of suture which differ by needle shape and size as well as thread material ...
The skin staple remover is a small manual device which consists of a shoe or plate that is sufficiently narrow and thin to insert under the skin staple. The active part is a small blade that, when hand-pressure is exerted, pushes the staple down through a slot in the shoe, deforming the staple into an 'M' shape to facilitate its removal.
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]
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
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.
Like wound closure strips, butterfly closures do not require a medical professional to apply and can result in improved cosmetic outcomes for small wounds, compared to surgical sutures. Waterproof closure strips: Steri-Strips are paper-based, so durability and usage can be compromised if they get wet, requiring dryness and precision.
An alternative to the surgical knot is a disposable clip that is placed at the end of the suture to keep stitches secure. A hemoclip is a titanium V-shaped clip with extensions that are squeezed together during application. The clips are available in various sizes and were originally designed to compress vessels for hemostasis. [5]
In flat knitting, generally stockinette stitch, the hand-knitter knits from right-to-left on one side of the fabric, turns the work (over), and then purls right-to-left back to the starting position. Usually, the smooth side of the fabric is considered the right side , the one facing outwards for viewing; and the side that faces inwards ...