The document discusses various suturing materials and techniques. It describes different types of absorbable and non-absorbable suture materials like chromic catgut, Vicryl, Prolene, and silk. It also discusses proper wound closure techniques like leaving edges slightly gaping and everted. Different surgical instruments used for suturing like needle holders, forceps, and retractors are also mentioned. Common suturing styles like horizontal mattress and vertical mattress are briefly outlined.

1. Dr.Iyyappan MS, FIAGES, FMAS
Sri Ramachandra University

2. SKIN INCISION

3. BLADES

4. 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

5. NEEDLE HOLDER

6. 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.

7. 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.

8. Monocryl

9. 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.

10. Ethilon

11. Sutupack
 Monofilament or multifilament
polyamide.
 Black in colour.
 Braided, uncoated and
nonabsorbable.
 Knotting property not very good.

12. Mersilk
 Nonabsorbable, braided silk
 Black in colour.
 Used in ligating bleeding
points or anastomosis, etc.

13. COLOUR OF SUTURE MATERIAL
 Yellow - Plain catgut
 Brown - Chromic catgut
 Violet - Vicryl
 Blue - Prolene
 Black - Silk

14. OTHER INSTRUMENTS
NON-TOOTHED FORCEPS

15. TOWEL CLIP

16. TRAY

17. SPONGE HOLDER

18. STRAIGHT SCISSORS

19. CURVED SCISSORS

20. BABCOCKS

21. KOCHERS

22. CURVED ARTERY

23. ALLIES

24. FORCEPS

25. FORCEPS

26. SUCTION

27. LANGENBECK
RETRACTOR

28. ZIERNY RETRACTOR

29. MORRIS RETRACTOR

30. TYPES OF SUTURING
 HORIZONTAL MATTRESS
 VERTICAL MATTRESS
 SIMPLE SUTURE

31. NEWER TECH

32. SSG BLADE

33. UROBAG

34. FOLEYS CATHETER

35. DRAINS
CORRUGATED DRAIN

36. SUCTION DRAIN

37. LMA

38. ET TUBE