Chapter 11 Suturing Techniques
a primary suture line consisting of a single strand of suture placed as a series of stitches often
used for closure of long incisions - ANS-continuous or running suture
a sterile liquid that is applied topically; used on the surface of a wound that will not be under
tension in place of adhesive skin closure tapes, staples, or suture - ANS-Skin adhesive
adhesive-backed strips of nylon or polypropylene tapes used to reinforce a subcuticular skin
closure to approximate wound edges of small incisions or superficial lacerations when sutures
may not be necessary - ANS-Skin closure tapes
for arteries - ANS-red loops
for nerves and ducts - ANS-white and yellow loops
for veins - ANS-blue loops
holes through which tendon sutures are pulled through and tied over a button to prevent tissue
damage - ANS-Buttonholes
large-gauge, interrupted, nonabsorbable sutures placed lateral to a primary suture line for
wound reinforcement - ANS-retention sutures
main suture that approximates the wound edges for first intention healing to occur -
ANS-Primary suture line
may be clamped onto the ends of subcuticular sutures after skin closure - ANS-Split lead shots
pieces of plastic or rubber tubing threaded over the retention suture ends before the ends are
tied; once tied they cover retention sutures and prevent them from cutting into the skin -
ANS-Bolsters
placed in a circular fashion around a structure in such a way that pulling on the suture ends
tightens and closes an opening - ANS-drawstring or pursestring suture
plastic devices that bridge the closed incision - ANS-Bridges
sutures placed to support and ease the tension on the primary suture line, thus reinforcing the
wound closure and obliterating any dead spaces - ANS-secondary suture line
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