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Suggested Guidelines For Suture Material and Size For Body Region

The document provides guidelines for suture material and size based on body region, including recommendations for non-absorbable and absorbable materials. It recommends monofilament nylon, polypropylene, or polybutester for non-absorbable sutures and various absorbable materials like polyglycolic acid or polyglactin 910 for dermal and fascial closures. Suture sizes range from 7-0 for eyelid skin to 4-0/3-0 for foot skin closures. It also lists recommended times to remove sutures in different body areas, such as 3 days for eyelids and 7-14 days for scalp sutures.

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51 views2 pages

Suggested Guidelines For Suture Material and Size For Body Region

The document provides guidelines for suture material and size based on body region, including recommendations for non-absorbable and absorbable materials. It recommends monofilament nylon, polypropylene, or polybutester for non-absorbable sutures and various absorbable materials like polyglycolic acid or polyglactin 910 for dermal and fascial closures. Suture sizes range from 7-0 for eyelid skin to 4-0/3-0 for foot skin closures. It also lists recommended times to remove sutures in different body areas, such as 3 days for eyelids and 7-14 days for scalp sutures.

Uploaded by

MaryNguyen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Suggested Guidelines for Suture Material and

Size for Body Region:


Note: Percutaneous = skin; deep = dermal layer

1. Nonabsorbable Monofilament — Nylon (Ethilon, Dermalon), Polypropylene


(Prolene), and Polybutester (Novafil)
2. Absorbable materials for dermal and fascial closures — Polyglycolic acid
(Dexon, Dexon Plus), Polyglactin 910 (Vicryl), Polydioxanone (PDS —
monofilament absorbable), Polyglyconate (Maxon — monofilament absorbable)
3. Absorbable materials for mucosal and scrotal closure — Chromic gut,
Polyglactin 910 (Vicryl)

 Scalp Percutaneous (skin): 5-0/4-0 Monofilament


o Deep (dermal): 4-0 Absorbable
 Ear Percutaneous: 6-0 Monofilament
 Eyelid Percutaneous: 7-0/6-0 Monofilament
 Eyebrow Percutaneous: 6-0/5-0 Monofilament
o Deep: 5-0 Absorbable
 Nose Percutaneous: 6-0 Monofilament
o Deep: 5-0 Absorbable
 Lip Percutaneous: 6-0 Monofilament
o Deep: 5-0 Absorbable
 Oral Mucosa Deep: 5-0 Absorbable
 Other Parts Of Face & Forehead Percutaneous: 6-0 Monofilament
o Deep: 5-0 Absorbable
 Trunk Percutaneous: 5-0/4-0 Monofilament
o Deep: 3-0 Absorbable
 Extremities Percutaneous: 5-0/4-0 Monofilament
o Deep: 4-0 Absorbable
 Hand Percutaneous: 5-0 Monofilament
o Deep: 5-0 Absorbable
 Foot/Sole Percutaneous: 4-0/3-0 Monofilament
o Deep: 4-0 Absorbable

Days to Remove

●Eyelids – Three days


●Neck – Three to four days
●Face – Five days
●Scalp – 7 to 14 days
●Trunk and upper extremities – Seven days
●Lower extremities – 8 to 10 days

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