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Jenkin's rule was the first research result in this area, showing that the then-typical use of a suture-length to wound-length ratio of 2:1 increased the risk of a burst wound, and suggesting a SL:WL ratio of 4:1 or more in abdominal wounds. [19] [20] A later study suggested 6:1 as the optimal ratio in abdominal closure. [21]
The following table compares some of the most common adsorbable sutures. Plain catgut. Chromic catgut. Polyglycolide. (P.G.A.) Polydioxanone (PDS) Description. Adsorbable biological suture material. Plain is an adsorbable suture made by twisting together strands of purified collagen taken from bovine intestines.
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.
Dashed lines are under the skin. 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 ...
The corner stitch is a common suture technique. [1] It used to close wounds that are angled or Y-shaped without appreciably compromising blood supply to the wound tip. [2][3] The corner stitch is a variation of the horizontal mattress stitch, and is sometimes called the "half-buried horizontal mattress stitch". [4]
Vertical mattress stitch. All bites are in the same vertical plane. The vertical mattress stitch, often called vertical Donati stitch (named after the Italian surgeon Mario Donati), [1] is a suture type used to close skin wounds. The advantages of the vertical mattress suture are that it provides closure for both deep and superficial layers ...
A wound before and after being closed by simple interrupted sutures, but with a central vertical mattress suture. The simple interrupted stitch is a suturing technique used to close wounds. It is the most commonly used technique in the closure of skin. [1] It is known as an interrupted stitch because the individual stitches aren't connected ...
Surgical incision. A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery.