Manual of Surgical Sutures and Ligatures【2025|PDF下载-Epub版本|mobi电子书|kindle百度云盘下载】

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SECTION 1 How to Prepare Sutures for the Operating Room1

SUTURES1

Absorbable1

Non-Absorbable2

LIGATURES2

ARRANGEMENT OF TUBES AND BOXES2

For General Surgery2

For Surgical Specialties3

HOW TO STORE SUTURES3

ASEPTICIZING EXTERIOR OF TUBES4

Boilable Sutures4

Non-Boilable Sutures6

STORING ASEPTICIZED SUTURE TUBES10

SILK SUTURES12

STAY OR TENSION SUTURES14

SPECIAL SUTURES15

STERILIZATION OF NON-TUBED SUTURES15

RESTERILIZATION OF SUTURES17

SECTION 2 Preparation of Sutures at the Operating Table21

SURGEON＇S CHOICE OF SUTURE MATERIALS21

STERILITY OF THE SUTURE AS IT COMES FROM THE TUBE22

TECHNIC OF HANDLING BOILABLE SUTURES22

Opening the Tubes22

Unwinding the Sutures24

The Pliability or Suppleness of the Suture24

Providing Maximal Pliability to Boilable Sutures24

Satisfactory Methods for Restoring Pliability25

1．Immersion in 70% Alcohol25

2．Exposure to Towel Saturated with 70% Alcohol26

3．Immersion in Saline Solution28

4．Exposure to Towel Saturated with Saline Solution29

How to Unwind Boilable Sutures after Maximal Pliability is Obtained29

TECHNIC OF HANDLING NON-BOILABLE SUTURES31

Opening the Tubes31

How to Unwind Non-Boilable Sutures31

Pliability of Non-Boilable Sutures33

1．Exposure to Towel Saturated with 95% Alcohol33

2．Immersion in Saline Solution34

THE LIGATURE34

TYPES OF SUTURES36

LENGTH OF THE SUTURE36

SELECTION OF NEEDLES37

Types of Needles37

Reese Snap-on Needle38

Atraumatic Needle39

Size of Needle as Related to Size of Suture41

Number of Needles Required42

SECTION 3 What the Surgeon Expects of Sutures45

PHYSICAL PROPERTIES OF SUTURES45

Size and Tensile Strength45

1．Catgut Sutures，U．S．P45

2．Surgical Silk47

Duration in the Tissues47

USE OF THE LIGATURE48

To Arrest Hemorrhage and Form Thrombus48

To Control Hemorrhage in Special Organs49

To Prevent Secondary Hemorrhage by Transfixion49

USE OF THE SUTURE49

To Hold Tissues Together Until They Heal49

Methods of Suturing50

1．For All Tissues50

2．For Special Tissues51

3．Primary Suture Line53

4．Secondary Suture Line54

STAY OR TENSION SUTURES54

SUTURES IN RELATION TO WOUND HEALING57

POSTOPERATIVE WOUND INFECTIONS59

SUTURES USUALLY ARE ABSORBED OR BECOME INNOCUOUS63

USE OF SUTURES TO HOLD A DRAIN IN PLACE64

SECTION 4 Suture Technic69

IMPORTANCE OF A STANDARDIZED TECHNIC69

THE HOSPITAL BACTERIOLOGIST70

THE STERILITY OF SURGICAL SUTURES72

ADVANTAGES OF FINE SIZE SUTURES72

HOW TO CARE FOR THE SHORT END OF THE SUTURE74

CARE OF THE LONG END OF THE SUTURE76

PROTECTION OF SUTURES FROM EXPOSED SKIN76

PROTECTION FROM CONTAMINATED LAPAROTOMY SPONGES76

Protecting Sutures from Contaminating Discharges78

Cutting After Knotting79

Silk Sutures79

Speed of Operation with Continuous and Interrupted Sutures80

How to Develop Speed with Interrupted Sutures80

SECTION 5 Complications and Contra-Indications85

SIGNS OF TOO MUCH TENSION85

SIGNS OF DISRUPTION86

What Happened to the Sutures？86

CONTRA-INDICATIONS TO THE USE OF CATGUT87

CONTRA-INDICATIONS TO THE USE OF SILK87

SECTION 6 Sutures for Various Tissues91

CATGUT SUTURES IN THE SKTN91

GENERAL GUIDE FOR D＆G SUTURES92

SECTION 7 Varieties of Suture Materials101

SURGICAL CATGUT101

Source102

Types102

Tanning Process102

RIBBON GUT104

KANGAROO TENDONS105

KANGAROO BANDS106

SURGICAL SILK107

SPECIALLY TREATED SILK109

SILKWORM GUT109

NYLON110

LINEN111

HORSEHAIR111

WIRE111