swaged
What is the term for a type of suture that has the strand of suture material inserted into the hollowed-out needle end?
Halsted
Which historic figure in medicine is credited with creating principles of proper tissue handling and suturing?
Interupped
The suturing technique MOST appropriate for wounds likely to become infected or suffer potential stress is:
To prevent sutures cutting the skin
What is the primary reason bolsters are used with retention sutures?
Tensile Strength
What is the term that describes the measure of how much a suture strand can be stretched before breaking?
friable
What is the term for tissue that is easily torn or shredded?
blunt
Which type of suture needle is used on friable tissue such as liver or kidney?
synthetic, nonabsorbable, monofilament with double-armed taper needles
Which type of suture is often used to create a vascular anastomosis?
- Laceration,
Abnormal tract between two epithelial surfaces, open at one end only
- In-growth mesh,
Biological material for tissue repair; made from porcine submucosa; leaves a collagen matrix
- Capillarity,
Capability of suture material to retain tissue fluids and bacteria that can communicate along the length of a continuous suture line
- Incision,
Intentional cut through intact tissue for purposes of exposing underlying tissues
- Contusion,
Closed traumatic wound; also called a bruise
- Laceration,
Traumatic cut or tearing of skin or soft tissues
- Abrasion,
Traumatic injury from friction forces causing scraping of epidermal layer
- Cicatrix,
Small, white, mature surface scar seen in differentiation phase of healing
- Hydrolysis,
Process of breaking down synthetic polymer chains by water from tissues
- Fistula
Abnormal connection between two epithelial surfaces, open at both ends
Polyglactin 910
Which type of synthetic mesh is absorbable?
Third intention
By which intention would a purulent wound treated by debridement and placement of medicated packing, then sutured after resolution of the infection heal?
Traction-9
What would be the type of suture placed temporarily in the tongue to hold it out of the way in a maxillofacial procedure?
mesentery
Which of the following tissues is NOT part of the abdominal wall closure when retention sutures are placed?
chronic
What kind of wound is a sacral decubitus ulcer?
immunosuppressed status
A patient undergoing chemotherapy and radiation therapy for cancer might experience prolonged wound healing due to:
fascia
Which tissue layer of the abdominal wall provides the greatest strength and support of the wound?
skin closure tapes
What is used to close the epidermal layer when a subcuticular wound closure has been done for good cosmesis?
Keith
Which of the following surgical needles is a solid bore (not hollow) type of needle?
second
A wound that is not sutured and that gradually fills in by granulation heals by which intention?
debridement
What is the term for removal of foreign material or contaminated debris from a wound?
following
A way in which the surgical technologist can assist the surgeon by keeping the suture strand out of the way during a continuous running closure is by:
electrical nerve stimulation
All of the following are techniques for eliminating dead space in a wound EXCEPT:
are impregnated with an antibacterial coating
Ethicon sutures may be available with a designation of "plus" for some sutures, which means they:
provides smooth passage through tissue
Some multifilament sutures are coated to:
cutting
Which type of needle is preferred for suturing skin?
They may be used in infected wounds
Which statement is CORRECT regarding monofilament sutures?
Protrusion of the viscera through all the tissue layers
Evisceration of an abdominal wound is:
extracorporeal method
Which suture technique involves making a knot in the suture outside of the body and then pushing it inside through a cannula?
PDS Plus
Which absorbable suture provides for the MOST extended wound support?
True
Approximation is bringing two sides of a wound together closely with sutures, wound zippers, or special adhesives so that the wound can heal from side to side.
fascia
Which layer of the abdominal wall must be approximated securely, even if the other layers are not?
ischemia
If tissue is approximated too tightly, it can result in:
surgical silk
Which of the following is a natural, multifilament suture classified as nonabsorbable but loses much of its tensile strength in a year and is undetectable in tissues after 2 years?
inflammatory
Which phase of healing for wounds closed by first intention begins within minutes of the incision or injury?
8-0
Which suture gauge would be MOST appropriate for ophthalmic surgery?
cyanoarcrylate
What is the chemical name for Dermabond� or Indermil�?
High tensile strength and small diameter
To achieve the goal of leaving as little foreign material in a wound, the ideal suture selected should have:
True
A surgeon's choice of suture to be used is based on the surgeon's training, the condition of the patient, the type of wound, and the conditions surrounding the surgical intervention.
occlude the lumen of a blood vessel
Ligatures are use to:
evert the edges outward
How will the surgeon manipulate skin edges of a wound before the surgical technologist places an approximating skin staple?
keloid
What is the name of a raised, hypertrophic scar due to excessive collagen formation in some darker-skinned individuals?
Class II
Which wound classification would be assigned to a vaginal hysterectomy with anterior and posterior colporrhaphy?
False
Suture gauge can range from #5 (being the smallest) to 11-0 (being the heaviest) diameter.
Collagen
Which of the following interweaves its fibers during the maturation phase of wound healing and increases its tensile strength?
True
Sutures with memory, such as chromic, plain, nylon, or other monofilaments, should be stretched tightly to remove any kinks in the strand before being handed to the surgeon.
Intralumenial Stapler
Which internal stapling device fires a circular double row of staples to reanastomose the colon?
Purse-String
Which suturing technique would be used to close the stump of the appendix in an open appendectomy?
polytetrafluoroethylene
What is the chemical name of Gore-Tex suture?
suture permanently swaged on an eyeless needle
Tissue trauma is minimized by using which type of suture-needle combination?
side to side
Primary union wound healing occurs:
suture ligature
Which type of suture ties has an attached needle?
U.S. Pharmacopeia (USP)
Which organization specifies diameter ranges for sutures?
reverse
Which needle has the cutting edge on the outside curvature of the needle body?
plain gut
Which of the following sutures would be contraindicated in a chronic infected wound of an immunosuppressed patient?
green colored for bile ducts
Which of the following types of vessel loops are NOT available for use?
True
The tensile strength of suture material should equal the tensile strength of the tissue into which suture is placed.
evisceration
Which postoperative wound complication would require immediate surgical treatment?
enzymatic digestion
Natural absorbable sutures are broken down in the body by:
subcuticular suture
A continuous suturing technique that places sutures in the endothelial layer of the skin in short, lateral throws is called a:
Veress
Which nonsuture needle is used for insufflation of carbon dioxide into the abdomen for laparoscopy?
first intention
Which type of healing occurs in an aseptic wound with good approximation and ideal surgical conditions?
polypropylene
Which of the following is synthetic, monofilament, nonabsorbable, and the most inert synthetic suture used frequently in cardiovascular and ophthalmology procedures?
stick tie
Another name for a suture ligature is a:
They range from 1/2 circle curvature to 5/8 circle curvature.
Which of the following is NOT correct about the structure/design of suture needles?
inguinal hernia repair with no breaks in technique
Which of the following wounds would be assigned a Class I?
They are packaged wet
Which of the following statements is TRUE regarding natural absorbable sutures?
plain surgical gut
Which of the following sutures has comparatively inconsistent tensile strength and rapid absorption rate in vivo with moderate tissue reaction?
a normal protective response to tissue injury
Inflammation can BEST be described as:
stainless steel
Which suture is MOST inert in tissue?
more
In general, a monofilament suture would require ____________ knot throws for security than a multifilament suture.