What is a lembert suture?
n. A continuous or interrupted suture for intestinal surgery that includes the collagenous submucosal layer but does not enter the lumen of the intestine.
What is a Connell stitch?
The Connell stitch is achieved by passing the suture from the outside in, then inside out, on one end. The same step is repeated on the other end in the form of a continuous U-shape. The suture is tied so that the knot is outside.
What is an inverting suture pattern?
Inverting suture patterns are indicated to close hollow viscera or, in the form of the Lembert pattern, for fascial imbrication. Everting sutures eliminate dead space and counteract the tendency of wound edges to invert during healing. Most tension sutures have everting characteristics.
What is a suture pattern?
Suture patterns are typically categorised as: 1. continuous or interrupted 2. inverting, appositional, or everting 3. the effect the suture pattern has on wound tension. The choice of using interrupted versus continuous.
Do they use cat guts for stitches?
Catgut, tough cord made from the intestines of certain animals, particularly sheep, and used for surgical ligatures and sutures, for the strings of violins and related instruments, and for the strings of tennis rackets and archery bows.
What is a running whip stitch?
A whip stitch is a simple sewing stitch that is used in crocheting, knitting and sewing, and in which the needle is passed in and out of the fabric in a series of stitches that circle an edge of the fabric.
How is the Lembert suture used in medicine?
Lembert suture is the simplest technique that can be used for the internal organs, performed relatively quickly. It inverts lips of the wound and never passes through the mucosa, so lowers the probability of the contamination. It consists of 7 basic steps:
Which is the best suture to use on the face?
Generally, this suture is used on the face and ears, and therefore a 6-0 or 7-0 monofilament suture may be best, though fast-absorbing gut may be used to obviate the need for suture removal. The needle is inserted perpendicular to the epidermis, approximately 8 mm distant to the wound edge.
When to use a suture on a crease?
It may be used to recreate the alar creases as well as to better define the helical rim, and may also be useful when recreating the mental crease. With all techniques, it is best to use the thinnest suture possible in order to minimize the risk of track marks and foreign-body reactions.
Where does the needle go in a suture?
The needle is inserted perpendicular to the epidermis, approximately 8 mm distant to the wound edge. With a fluid motion of the wrist, the needle is rotated superficially through the dermis, and the needle tip exits the skin 2 mm distant from the wound edge on the ipsilateral side.
