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#STAPLED WOUND SKIN#

Stitches can usually be done by one health care professional.

#STAPLED WOUND SKIN#

Typically, using staples to close skin incisions work best with two health care professionals, where one aligns the skin edges with a forceps while the other makes the staples.

Medical staples are removed with a staple remover tool, while stitches are removed by cutting the suture next to the knot, then pulling the knot out gently until the suture is completely removed. Generally, staples tend to allow for rapid skin closure with minimal wound inflammation, and are easier to remove than stitches. Stitching with sutures or staples are cosmetically equivalent, and the choice of material and technique used depends on the physician who performs the procedure. Circular staples are used to make end-to-end surgical closures or connections, as in a bowel resection to help reattach the separated bowel parts. Staples are usually used as an alternative to suturing to close skin incisions, in areas that are hard to stitch, or during procedures that must be performed in a short time. Silk sutures: Typically used to tie off blood vessels or bowel segments.Nylon sutures: Used for closure of skin, surgical incisions or drainage tubes.Prolene sutures: Used in tissue of fascia, muscle or blood vessels.PDS: Used for stitches of muscle and fascia tissue.Maxon and monocryl sutures: Used for sub-cuticular stitches and soft tissue approximation.Vicryl sutures: Best for the lower layers of skin, and approximating muscle or fatty tissue.

Gut sutures: Used to close tissue that requires minimal support and heals rapidly, such as that of the oral cavity mucosal layer, or procedures of superficial blood vessels.Medical staples may be straight, curved or circular.

However they can also be made from other materials like iron, chromium, nickel or plastic. Medical staples are most commonly made from titanium or stainless steel. Staple types are classified according to their material or shape. This stitch is a convenient technique to close skin incisions.

Sub-cuticular stitch: Using an absorbable suture, the stitch is made at the dermal-epidermal junction to allow for better closure so that postoperative suture removal is unnecessary.

Mattress stitches go deeper into the skin layers and allow for excellent closure of incision edges while minimizing tension.

Mattress stitches: These can be placed either vertically or horizontally.

Simple interrupted stitching: The same suture line can be used more than once to make separate stitches that allow for more precise closure of the tissue, especially that of skin and fascia.

Continuous stitch: This is quick to perform using the same suture line without cutting, which helps distribute the tension along the length of the stitched wound.

Stitches can be divided into the following sub-types: Non-absorbable sutures can be made from nylon, polypropylene (prolene), or silk.

Non-absorbable sutures are useful for maintaining long-term tissue wound closure (apposition) and healing. Permanent, nonabsorbable sutures are sometimes preferred because they are resistant to body chemicals that might otherwise dissolve them too early in the healing process. Other absorbable sutures are made from synthetic polymer materials such as polylactic acid (Vicryl), polyglycolic acid (Dexon), polyglyconate (Maxon) and polydioxanone (PDS). Some materials used to make absorbable sutures are derived from animal products that have been specially processed. Absorbable sutures are intended to be broken down by the body over time and eventually dissolve completely. Sutures can be either absorbable or nonabsorbable. Staples are another material that doctors sometimes use to make sutures or stitches. The term "stitches" refers to the surgical procedure or process of closing a wound with sutures. For sutures, doctors use a thread or strand of material to perform wound closure. Sutures, stitches and staples are used for the same purpose - to close wounds or surgical incisions - but they are not the same.