NONABSORBABLE
LIGATURES AND SUTURES
Nonabsorbable sutures are not generally
used in an infected wound as they may cause sinus formation.
Silk
This material, generally white or
black, is braided from numerous fine strands of silk. It is supplied on
sterilizable spools 20 to
100 m (25 to 125 yds), or in multiple precut lengths ranging from 35 to 45 cm (14 to 18 in), and a single precut length of
1.8 m(72 in).
100 m (25 to 125 yds), or in multiple precut lengths ranging from 35 to 45 cm (14 to 18 in), and a single precut length of
1.8 m(72 in).
The
sizes available are 0. 4(8/0) (Virgin silk), and from 0. 7 to 6(6/0 to 4) or
even stronger. It is important to use serum-proofed silk to reduce capillary
attraction which is a peculiarity of plaited or braided materials. Examples of
these materials include D and G silk (Davis and Geck), Mersilk (Ethicon), and
Surgisilk (Surgicraft).
Alternatively,
threaded needles can be autoclaved as required for an operation.
Linen
Origin from fibers of flax plant, it
has a braided construction, spun and twisted. Relatively pliant and easy to
handle. ‘Drags’ through tissues, knots very securely. Evokes minor to moderate
tissue reaction. Gains strength on wetting.
Uses
It is used as a general ligature where
a strong firm tie is essential.
Cotton
Origin from fibers of cotton bush and
is braided is not as strong as silk. Gains strength on wetting.
Uses
It is used similar to silk.
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