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Dr.Iyyappan MS, FIAGES, FMAS
Sri Ramachandra University
SKIN INCISION
BLADES
Closure of wounds
 Wound edges should be left slightly gaping to allow
swelling
 Edges should be everted
 The knot should be placed to one side of the wound
 Knots must be secure, with the ends long enough to
grasp when removing the suture
NEEDLE HOLDER
SUTURES
CHROMIC CATGUT
(21 day catgut)
• plain catgut + chromic salts
• Used in intestinal anastomosis,
closure of urinary bladder, closure of common bile
duct,
gastrojejunostomy, etc.
• Catgut is biological, absorbable, monofilament
suture
material.
• 2-0 refers to the thickness of the suture.
• Knotting property is good.
• Preserved in 70% alcohol and is kept soft
due to 5% glycerine.
Vicryl (Polyglactin)
 Copolymer of glycolide and lactide.
 Synthetic and absorbable suture.
 Absorbed by hydrolysis.
 Strength and reliability is more than catgut,
 Small intestinal and colonic anastomosis,bile duct.
 Tissue reaction is less than chromic catgut.
 Knotting property is good.
 Used in the presence of infection.
Monocryl
Prolene
 Polypropylene and
nonabsorbable.
 Monofilament, artificial and
uncoated.
 Does not harbour micro-
organism. chances of
infection are less.
 Used for abdominal closure,
repair of hernias, repair of
incisional hernia, etc.
Ethilon
Sutupack
 Monofilament or multifilament
polyamide.
 Black in colour.
 Braided, uncoated and
nonabsorbable.
 Knotting property not very good.
Mersilk
 Nonabsorbable, braided silk
 Black in colour.
 Used in ligating bleeding
points or anastomosis, etc.
COLOUR OF SUTURE MATERIAL
 Yellow - Plain catgut
 Brown - Chromic catgut
 Violet - Vicryl
 Blue - Prolene
 Black - Silk
OTHER INSTRUMENTS
NON-TOOTHED FORCEPS
TOWEL CLIP
TRAY
SPONGE HOLDER
STRAIGHT SCISSORS
CURVED SCISSORS
BABCOCKS
KOCHERS
CURVED ARTERY
ALLIES
FORCEPS
FORCEPS
SUCTION
LANGENBECK
RETRACTOR
ZIERNY RETRACTOR
MORRIS RETRACTOR
TYPES OF SUTURING
 HORIZONTAL MATTRESS
 VERTICAL MATTRESS
 SIMPLE SUTURE
NEWER TECH
SSG BLADE
UROBAG
FOLEYS CATHETER
DRAINS
CORRUGATED DRAIN
SUCTION DRAIN
LMA
ET TUBE
Basic Surgical instruments for under graduates

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Basic Surgical instruments for under graduates