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wound_2.docx

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http://www.uphs.upenn.edu/surgery/education/facilities/measey/wound_closure_
manual.pdf
Wound Closure Part III
Read Chapter 2 (pgs 13-18)
1. What determines the tensile strength and the ability to be absorbed by the body
without adverse reactions?
The tensile strength determines by ability to withstand stress.
5. What determines the rate of absorption of surgical gut?
6. Plain surgical gut
List one characteristic
7.
Chromic gut
List one characteristic
8. Define Synthetic Absorbable Sutures.
9.
Coated Vicryl Rabpide suture
List one characteristic
10. Monocryl
List one characteristic
11. Coated Vicryl
.
List one characteristic
12. Coated Vicryl plus antibacterial
List one characteristic
13. PDS
List one characteristic
14. How are non-absorbable sutures classified?
15. Surgical Silk
List one characteristic
17. Define synthetic non-absorbable sutures.
18. Define Memory.
19. Ethilon Nylon Suture
Tensile strength
Degrade
List one characteristic
20. Nurolon Nylon Suture
Tensile strength
Degrade
List one characteristic
21. Mersilene Polyester Fiber Suture
Tensile strength
Degrade
List one characteristic
22. Ethibond Excel Polyester Suture
Tensile strength
Degrade
List one characteristic
23. Prolene Polypropylene Suture
Tensile strength
Degrade
List one characteristic
24. Pronova Poly Suture
Tensile strength
Degrade
List one characteristic
Wound Closure Part IV
Read Chapter 3
1. What is the goal of surgical needle design?
2. Describe the best needle characteristics.
3. What 3 key factors make up the ideal needle?
4. How is a needle’s strength determined?
5. Define ductility.
6. Describe each component of the needle’s anatomy.
7. What is the difference between a swaged needle and an eyed needle?
8. What is a control release needle (also called a pop-off)?
9. What is a Keith needle?
10. List the various needle shapes that are currently available and their use.
11. List the various types of needle points and their use.
12. What are blunt needles used for (note specific tissues)?
13. What are the selection requirements when choosing an appropriate needle
holder?
14. When passing a loaded needle holder to the surgeon list two reasons why the ST
holds the free end of the suture.
15. List needle handing tips and provide reasoning for each tip (may be a variety of
answers) ex. make sure the needle is free of corrosion because a corroded
needle would add to tissue trauma and possibly irritate tissue.

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