SUTURE CHART General surgical procedures in small animal practice Skin closure Cause Bit wounds Abcesses/drains Tumors (including mammae tumores) Procedure Close cutis with simple interrupted sutures Suturing of subcutis Bit wounds Abcesses/drains All other procedures where subcutis need suturing Close subcutis with either simple interrupted (if much tension on the wound) or simple continous suturing pattern if needed Intracutaneous/ intradermal skin closure Close cutis intradermal/intracutaneous with contineous suturing pattern Size of animal 1-5 kg 5-10 kg 10-20 kg 20-40 kg > 40 kg 1-5 kg 5-10 kg 10-20 kg 20-40 kg > 40 kg <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg Size of suture 5-0 or 4-0 3-0 3-0 or 2-0 2-0 2-0 or 0 4-0 3-0 3-0 or 2-0 2-0 2-0 or 0 4-0 or 3-0 4-0 or 3-0 4-0 or 3-0 3-0 3-0 or 2-0 2-0 Suture Promilene, Nylon, Krupramid Monofast, PD-X, Sacryl, PGA Plus sutures are recommended for infection prevention Monofast, Sacryl Oral surgery Suturing of gingiva Cause Closure of wound/site after extraction of teeth Procedure Use an interruptured pattern to close the incision or gap after extraction. Avoid leaving dead space. Size of animal 1-5 kg 5-10 kg 10-20 kg >20kg 30-40 kg > 40 kg Size of suture 5-0 or 4-0 4-0 4-0 or 3-0 4-0 or 3-0 3-0 or 2-0 2-0 Suture Monofast, Monofast Plus (for infection prevention), Sacryl Rapid (for fast absorption), Silk Spay, bitch Ligation, ovaries Cause Ligation, cervix Closure of abdominal wall/Linea Alba Suturing of subcutis Skin closure, non-absorbable Or intracutaneous closure See above procedure Procedure Double ligation of ovaries Double ligation on cervix if a full OHE Simple interrupted surgical knots Simple continous pattern Simple interrupted surgical knots Size of animal <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg <5 kg 5-10 kg 10-20 kg 20-30 30-40 kg > 40 kg Size of suture 4-0 or 3-0 3-0 3-0 3-0 or 2-0 2-0 or 0 0 3-0 3-0 3-0 or 2-0 2-0 or 0 0 0 or 1 4-0 or 3-0 3-0 3-0 or 2-0 2-0 or 0 0 or 1 0 or 1 4-0 4-0 4-0 or 3-0 3-0 3-0 or 2-0 2-0 4-0 4-0 or 3-0 3-0 3-0 or 2-0 2-0 2-0 or 0 Suture PD-X, Sacryl, PGA PD-X, Sacryl, PGA PD-X, Sacryl Plus sutures are recommended for infection prevention Monofast, PD-X, Sacryl, PGA Plus sutures are recommended for infection prevention Promilene, Nylon, Krupramid kruuse.com
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