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Sutures are a fundamental component of surgical practice, used extensively for wound closure and tissue approximation. They come in a diverse array of types, each with specific characteristics that make them suitable for different surgical needs. The understanding of these characteristics is crucial for the ideal selection of sutures, ensuring optimal wound healing and minimizing scarring.
The term "suture" finds its origin in the Latin word "sutura," meaning "a stitched seam." Throughout history, a wide array of materials such as linen, cotton, horsehair, animal tendons, intestines, and even precious metal wire have been employed to close wounds and serve as ligatures. Numerous innovations and refinements over the years have contributed to the development of the advanced and sophisticated products used in modern medical practice today.
Sutures are primarily classified based on three main factors:
Absorbable vs. Non-absorbable: Absorbable sutures are designed to be broken down by the body over time and do not require removal, making them ideal for internal tissues. Non-absorbable sutures, on the other hand, are not broken down by the body and may either be removed after a certain period or left in place permanently, depending on the surgical requirement.
Synthetic vs. Natural: Synthetic sutures are made...
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