Скачать или смотреть सर्जरी में कौन सा धागा उपयोग होता है | Catgut Suture | Vicryl Suture | Absorbable Surgical Suture

सर्जरी में कौन सा धागा उपयोग होता है | Catgut Suture | Vicryl Suture | Absorbable Surgical Suture



*Surgical Sutures and Absorbable Sutures: A Comprehensive Guide*

Surgical sutures are medical threads used by surgeons to close wounds or surgical incisions. These sutures help in tissue approximation and healing. Depending on their nature, sutures are categorized as *absorbable* and **non-absorbable**.

*Types of Sutures Used in Surgery*
1. *Absorbable Sutures* – These sutures naturally dissolve and are absorbed by the body over time.
2. *Non-Absorbable Sutures* – These sutures remain in the body until manually removed or are used in permanent internal structures.

*Absorbable Surgical Sutures*

Absorbable sutures are made from materials that degrade over time due to hydrolysis (synthetic sutures) or enzymatic action (natural sutures). These are commonly used in **internal tissues, mucosal closures, and surgeries where long-term support is unnecessary**.

*1. Types of Absorbable Sutures*

#### *(A) Natural Absorbable Sutures*
*Catgut Suture* – Derived from purified collagen of animal intestines (sheep or cattle).
Plain Catgut – Absorbed in **7–10 days**.
Chromic Catgut – Treated with chromic salts to slow absorption, lasting **10–21 days**.

#### *(B) Synthetic Absorbable Sutures*
Made from polymers that degrade through hydrolysis, providing a predictable absorption rate.

1. *Vicryl (Polyglactin 910)*
Braided and coated suture.
Absorbed in **56–70 days**.
Loses **50% tensile strength in 2–3 weeks**.
Used for general soft tissue closure, including **oral, gynecological, and subcutaneous surgeries**.

2. *PDS (Polydioxanone)*
Monofilament, high tensile strength.
Absorbed in **180 days**.
Used for **fascia closure, cardiovascular, and pediatric surgeries**.

3. *Monocryl (Poliglecaprone 25)*
Monofilament, smooth passage through tissues.
Absorbed in **90–120 days**.
Commonly used for **subcuticular skin closure and cosmetic surgeries**.

4. *Polyglycolic Acid (Dexon)*
Braided, similar to Vicryl.
Absorbed in **60–90 days**.
Used in **general surgery, gynecological procedures, and gastrointestinal surgeries**.

5. *Fast Absorbing Sutures (Vicryl Rapide, Monocryl Rapide)*
Absorbed in **7–14 days**.
Used in **dental surgeries, superficial wounds, and pediatric procedures**.

2. Advantages of Absorbable Sutures**
✔ No need for removal (ideal for internal use).
✔ Reduces the risk of foreign body reaction.
✔ Provides appropriate tensile strength until tissue heals.

3. Disadvantages of Absorbable Sutures**
✖ May cause *inflammation or allergic reactions* in sensitive individuals.
✖ Some types degrade quickly, making them unsuitable for high-tension areas.
✖ Not suitable for *permanent tissue support* (e.g., vascular or tendon repairs).



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