Sewn
Sewn is a term often used in the medical field, particularly in surgery, to describe the process of joining tissues together using stitches. This is typically done using a needle and thread, and is a fundamental skill for any surgeon. The process of sewing tissues together is crucial in wound healing and in surgical procedures where tissues need to be reconnected, such as in organ transplants or in the repair of damaged tissues.
History[edit | edit source]
The practice of sewing wounds together dates back to ancient times, with evidence of sutures being used in Egypt as early as 3000 BC. The materials used for sutures have evolved over time, from plant materials and animal hair in ancient times, to silk and catgut in the Middle Ages, to modern synthetic materials.
Types of Sutures[edit | edit source]
There are many different types of sutures, each with their own advantages and disadvantages. Some of the most common types include:
- Absorbable sutures: These are made from materials that are gradually absorbed by the body over time. They are often used for internal stitches that cannot be easily removed.
- Non-absorbable sutures: These are made from materials that are not absorbed by the body and must be removed by a healthcare professional.
- Monofilament sutures: These are made from a single strand of material. They are less likely to harbor bacteria than multifilament sutures, but can be more difficult to tie securely.
- Multifilament sutures: These are made from multiple strands of material twisted together. They are easier to tie securely than monofilament sutures, but are more likely to harbor bacteria.
Suture Techniques[edit | edit source]
There are also many different suture techniques, including:
- Simple interrupted sutures: This is the most common type of suture technique. Each stitch is tied off individually.
- Running sutures: In this technique, one continuous thread is used for the entire wound. This technique is faster than simple interrupted sutures, but is less secure.
- Mattress sutures: This technique involves placing sutures deeper into the tissue to provide more support. It is often used for wounds under tension.
Complications[edit | edit source]
While suturing is generally safe, complications can occur. These can include infection, allergic reactions to the suture material, and scarring. In some cases, sutures may also need to be removed and replaced if they become loose or if the wound is not healing properly.
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Contributors: Prab R. Tumpati, MD