Learning about Sutures - page 3

I am new to the OR as a circulator and I am looking for more information about sutures. The hospital I work for does not train the circulators on how to scrub so I dont get to see close ups on... Read More

  1. by   Pghfoxfan1
    Great post! Thank you! I also want to say that 0 silk is used when you want to hold something in place forever, for example a pacemaker/ICD tied to the chest muscle, and it's leads. You wouldn't want these sutures to absorb/disappear in time because the device could fall into the armpit/breast area.
  2. by   WhoDatWhoDare
    Quote from Pghfoxfan1
    Great post! Thank you! I also want to say that 0 silk is used when you want to hold something in place forever, for example a pacemaker/ICD tied to the chest muscle, and it's leads. You wouldn't want these sutures to absorb/disappear in time because the device could fall into the armpit/breast area.
    I don't know if I'd say silk should be used when you want something in a place forever.... while it isn't absorbable, it does lose tensile strength over time... I suppose in your example with an ICD though, it will retain its strength long enough for scar tissue in the pocket to form, "cementing" it in place, aka fixating in place.


    Here is the manufacturer page on silk indicating loss of tensile strength over time.
    http://woundclosure.ethicon.com/prod...de-search/624H
    Last edit by WhoDatWhoDare on Aug 9

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