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Suture sizing is just like the sizing for IV’s and injection needles- the smaller the suture, the larger the number. The smallest sutures, 10-0, you will likely never use as a nurse practitioner. These tiny sutures, as fine as human hair, are used for microvascular procedures. The largest sutures, 00, are as large as fishing line and are used for procedures like closing the abdominal wall ...

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The suture needles, materials, and techniques selected are at the discretion of the surgeon or medical professional assessing the wound. The medical professional will select the appropriate needle, suture material, and suture technique depending on whether or not they want to achieve deep tissue dead space closure, lesser or greater wound tensile strength, less scarring, ease of application or ...

The Set-Back Dermal Suture – Closing the Gap

One topic that Dr. Kantor mentioned which raised a few eyebrows for the audience was the use of the set-back dermal suture. I am venturing a guess that most of us coming from the world of Emergency Medicine don’t have great familiarity, if any, with this technique. So, here’s a quick primer to get you in the know: What: An alternative to the deep dermal suture, the set-back dermal suture ...

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Suture needles also come in a variety of shapes and sizes. Curved needles are almost exclusively used in dermatological surgery. Cutting needles move through the tissue more easily and may have their primary cutting edge on the inside of the curve (conventional cutting) or outside of the curve (reverse cutting). The benefit of reverse cutting is that the tapered puncture left by the suture is ...

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The suture manufacturer swages the suture thread to the eyeless atraumatic needle at the factory. The chief advantage of this is that the doctor or the nurse does not have to spend time threading the suture on the needle, which may be difficult for very fine needles and sutures. Also, the suture end of a swaged needle is narrower than the needle body, eliminating drag from the thread ...

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