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Suture materials

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Abstract

Suture material is used for a number of purposes during surgery. There is no ideal suture material for all purposes. If there were, the surgeon would only have to choose the correct size. To make a rational choice of the most appropriate suture material, the surgeon must understand the properties of the material and the nature of the wound. This chapter looks at the following: Suture material production and characteristics; Types of suture material; Rational selection of suture materials; Suture needles; Handling and use of suture material and needles; Tissue adhesives for wound closure; and Suture material monographs.

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Figures

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5.11 An eyed needle (top) and a swaged-on needle.
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5.12 Shapes of suture needles: straight half-curved taperpoint 3/8 curved reverse cutting; 5/8 curved taper; curved on flat; J-shaped tapercut.
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5.13 Needle points: taperpoint; tapercut; cutting; reverse cutting; spatula; round-bodied (blunt point). Reproduced from Fossum (2007) , with permission of the publisher; ©Elsevier)
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5.14 Cutting reverse cutting needles. Reproduced from Fossum (2007) , with permission of the publisher; ©Elsevier)
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5.15 Example of a suture material packet, explaining the label information.

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