Exam (elaborations)
Sutures part 3 (1)
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Exam of 7 pages for the course unit 9 at unit 9 (Sutures part 3 (1))
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Sutures part 3Ties - ANS-Ligatures are also referred to as
Occlude vessels for hemorrhage control or organ/extremity removal - ANS-Ligatures (ties) are
used to
Ligated with suture - ANS-Typically vessels that are not coagulated or occluded with stainless
steel clips are
1. Full length
2. Precut suture strands in a package
3. Wound onto radiopaque reels (for superficial bleeders) - ANS-Ties are available as (3 types):
54 inches (absorbable)
60 inches (nonabsorbable) - ANS-Standard lengths for non-needle suture material are
_____________ and May be cut into 1/4, 1/2, or 1/3 length by the surgical tech
18, 24, 30 inch strands - ANS-Single strand lighting material is available in precut lengths of
18 - ANS-Superficial bleeders will usually require ligatures no more than ______inches in length
18-30 - ANS-Deep bleeders require a Suture length of between__________ inches
1. Free-tie
2. Ligature feel
3. Instrument tie (tie-on-a-pass)
4. Suture ligature (stick tie) - ANS-Lighting methods include (4 ways)
Continuous ties from a reel - ANS-Ligating material may be used as single strand ties or
Free ties - ANS-Precut ties that are removed as single strands from the package and placed
into the open hand of the surgeon for use as ligatures are ____.
Free ties - ANS-This type of tie is not on a reel and is not loaded onto an instrument
1/4 inch ends - ANS-Monofilament sutures, because the knots can slide, are typically cut
leaving
1/8 inches - ANS-Multifilament sutures can be cut closer to the knot at _______ because thy do
not slide as readily as monofilament
, Absorbable or nonabsorbable - ANS-Ligature reels are wound with __________ sutures
Ligature reels - ANS-Are typically used to occlude superficial bleeders
Superficial bleeders of subcutaneous tissue just after the incision is made - ANS-Reels with
absorbable suture material are frequently used on
Chromic gut, plain, or polyglactin 910 sutures - ANS-Most common ligature reels:
2-0, 3-0, and 4-0 - ANS-Most common size ligature reels are
The number of holes visible on the side of the reel - ANS-The size of materials or ligature reels
used is indicated by
By unhooking the end of the suture strand and pulling it 2-3 inches away from the reel -
ANS-How should the surgical technologist prepare the ligature reel?
Instrument tie (tie-on-a-pass) - ANS-Deep bleeding vessels that have been occluded with a
hemostat clamp may be inaccessible for a free hand ligature and there use of
Stick ties - ANS-Suture ligatures are known as
stick ties (suture ligatures) - ANS-Large vessels are typically occluded with__________ to
prevent suture slippage
Swaged atraumatic, doubly ligated - ANS-Stick ties are sutures with a _______ _________
needle loaded onto a needle holder for placement through the center of a large vessel after a
hemostat clamp has been applied. The ends of of the suture are brought around the clamp so
that the vessel is _____ ______.
18 inch - ANS-For superficial bleeders __________ stick ties are used
27 inch - ANS-For deep vessel ___________ stick ties are used
2-0, 3-0 ; silk - ANS-Sizes ______ & ________ are the most commonly used stick tie sizes and
________ is the preferred suture material
Surgeons preference card - ANS-To determine what sutures will be necessary for a particular
procedure the surgical technologist should consult
Suture routine, Suture sizes, needles, and product code - ANS-Suture surgeon preference card
contain:
True - ANS-Size or condition may modify the suture routine (T/F)
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