【2555】tension
I remember that for a while, I don’t know where it started to be a clinical unhealthy trend. Some patients were afraid of sutures and were afraid of them. No matter how big or small the surgery, they insisted on pestering the doctor and telling me that you have to give me a good thread and that you can do it.
It is absorbed by the human body. This group of people is afraid of leaving foreign objects in their bodies. I don’t know where I heard the rumors, saying that if these sutures are left in their bodies, people will die.
I think I know that this statement is impossible. Absorbable sutures were invented later. According to this statement, weren’t all patients with previous surgeries killed by the unabsorbable sutures?
When considering what kind of sutures to use in medicine, the first step that doctors need to think about is not whether the suture can be absorbed by the human body, but the tension strength of the suture material.
Regarding the tension of human tissue, we have said from the first surgery when using hooks, that as long as the tissue is alive after anesthetics, there is always a tension of contraction during activity.
Medically, sutures are used to suture wounds. The purpose is to pull the two ends of the opening together to make the wound heal. If the sutures are not strong enough, they are not enough to resist the contraction tension of human tissue. In this way, the human tissue on both sides of the mouth is anastomotic.
When it contracts repeatedly, this tension can easily break the thread directly, causing the wound to crack again and cause the suture to fail.
How terrible is a failed suture? If the opening is opened again, isn't it going to cause heavy bleeding? Otherwise it's a leak? The wound can't heal, the anastomosis leaks, repeated infections, systemic sepsis, it's really a torture death - the doctor can think in his mind
All of these more terrifying things.
Some patients are afraid of the rumors that the so-called sutures will die if they remain in the body. If they refer to suture infection, the sutures are now strictly disinfected and the incidence rate is too low. And if the sutures cannot be absorbed, there will be a risk of infection.
There are also absorbable sutures. Absorbable sutures are not absorbed by the human body immediately after being stitched down. It will also become meaningless to suture. You have to wait until the wound is healed before being absorbed by the human body. This process can be as short as a few days.
More than one month.
What these patients are actually afraid of is the rejection of sutures. The problem is that medical technology has long developed to the strict usage regulations for various surgical materials. Which ones cannot be kept and which can be left in the human body for a long time are clearly marked.
All materials in the human body must be tested for compatibility with human tissues, and only after the review can it be used in clinical practice. This has been mentioned in orthopedic materials. All complex materials in orthopedics can do this, with a small gap
The line has long crossed this threshold.
Speaking of this, it can be seen that these people’s concerns are nonsense.
In clinical practice, some doctors will ask the patients before the operation whether to use absorbable sutures. Where are the sutures that can be selected by the patient? They are not harmful to the skin layer that has nothing to do with the patient's life. After all, some
The medical expenses that patients can pay for when financially struggling are limited. At that time, this absorbable suture was called a beauty thread and it was very expensive and had to be paid at all.
The choice of sutures that concerns the patient's life worries is impossible for doctors to leave this professional thing to patients who do not understand medicine to make random choices. That is equivalent to handing a knife to commit suicide.
Speaking of polypropylene wire, the most commonly used place is in the blood vessels.
Chapter completed!