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Dr. Aidah Abu Elsoud Alkaissi An-Najah National University Faculty of Nursing
Dr. Aidah Abu Elsoud Alkaissi Department of Intensive Care and
Suture materials
A variety of suture materials are available for ligating, suturing and closing the wound The appropriate suture is selected according to a number of characteristics: whether it is absorbable or nonabsorbable Its breaking strength, whether it is monofilament or multifilament Its knot tying facility, its tissue reactivity
Dr. Aidah Abu Elsoud Alkaissi Department of Intensive Care and
Physical xs
Please read page 116 plasticity definition:
(mechanics) The property of a solid body whereby it undergoes a permanent change in shape or size when subjected to a stress exceeding a particular value, called the yield value.
Memory: The average time lag between a request for information stored on a particular component
Handling Xs
Relaed both to pliability (The quality or state of being pliable; flexibility; as, pliability of disposition. Pliability of movement) or how easily the material bands A suture with a high friction coefficient tends to drag through tissue It is more difficult to tie because knots do nor set easily Some suture materials are coated to reduce their coefficient of friction This coating not only improves the way they pull through tissue on insertion, but also affects the force Dr. Aidah Abu Elsoud Alkaissi needed to remove the suture after the wound is healed Department of Intensive Care and
Tissue reaction Xs
Because it is a foreign substance, all suture material causes some tissue reaction Tissue reaction begins when the suture inflicts (To force (another) to accept a burden) injury to the tissue during insertionin addition tissue reaction to the suture material itself occurs The reaction begins with infiltration of WBC, macrophages and fibroblasts then appearby about the seventh day, fibrous tissue with chronic inflammation is present The reaction persists until the suture is encapsulated (nonabsorbable material) or absorbed (absorbed Dr. Aidah Abu Elsoud Alkaissi material) Department of Intensive Care and
Skin staples