purse-string suture


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suture

 [soo´chur]
1. sutura.
2. a stitch or series of stitches made to secure apposition of the edges of a surgical or traumatic wound; used also as a verb to indicate application of such stitches.
3. material used in closing a wound with stitches. adj., adj su´tural.
Various types of sutures. From Dorland's, 2000.
absorbable suture a strand of material that is used for closing wounds and becomes dissolved in the body fluids and disappears; types include surgical gut, tendon, and some synthetics.
apposition suture a superficial suture used for exact approximation of the cutaneous edges of a wound.
approximation suture a deep suture for securing apposition of the deep tissue of a wound.
buried suture one placed within the tissues and concealed by the skin.
catgut suture an absorbable suture made from surgical gut.
cobbler's suture double-armed suture.
collagen suture a suture made from the tendons of cattle, chemically treated, purified, and processed into strands; it is most often used in ophthalmologic surgery.
continuous suture one in which a continuous, uninterrupted length of material is used.
coronal suture the line of union between the frontal bone and the parietal bones.
cranial suture the lines of junction between the bones of the skull.
Czerny's suture
1. an intestinal suture in which the thread is passed through the mucous membrane only.
2. union of a ruptured tendon by splitting one of the ends and suturing the other end into the slit.
Czerny-Lembert suture a combination of the Czerny and the Lembert sutures.
double-armed suture one made with suture material threaded through a needle at each end. Called also cobbler's suture.
false suture a line of junction between apposed surfaces without fibrous union of the bones.
Gély's suture a continuous stitch for wounds of the intestine, made with a thread having a needle at each end.
interrupted suture one in which each stitch is made with a separate piece of material.
lambdoid suture the line of union between the upper borders of the occipital and parietal bones, shaped like the Greek letter lambda.
Lembert suture an inverting suture used in gastrointestinal surgery.
lock-stitch suture a continuous hemostatic suture used in intestinal surgery, in which the needle is, after each stitch, passed through the loop of the preceding stitch.
mattress suture suturing with the stitches parallel to the wound edges (horizontal mattress suture) or at right angles to them (vertical mattress suture).
purse-string suture a type of suture commonly used to bury the stump of the appendix, a continuous running suture being placed about the opening, and then drawn tight.
relaxation suture any suture so formed that it may be loosened to relieve tension as necessary.
retention suture a reinforcing suture made of exceptionally strong material such as wire, and including large amounts of tissue in each stitch. Used to relieve pressure on the primary suture line and to decrease the potential for wound dehiscence.
sagittal suture the line of union of the two parietal bones, dividing the skull anteroposteriorly into two symmetrical halves.
squamous suture the suture between the pars squamosa of the temporal bone and parietal bone.
subcuticular suture a method of skin closure involving placement of stitches in the subcuticular tissues parallel with the line of the wound.
synthetic absorbable suture an absorbable suture produced from strands of polymers; the most commonly used materials are polyglactin 910 (Vicryl) and polyglycolic acid (Dexon); the latter is more rapidly absorbed. Synthetic absorbable sutures are absorbed by slow hydrolysis, a chemical process in which the polymer reacts with tissue fluids, causing a breakdown of the molecular structure of the material at a predictable rate and with minimal tissue reaction.
vertical mattress suture a suture whose stitches are at right angles to the edges of the wound, taking both deep and superficial bites of tissue; the superficial ones achieve more exact apposition of the cutaneous margins. When the suture material is pulled tight, the wound edges evert.

purse-·string su·ture

a continuous suture placed in a circular manner either for inversion (as for an appendiceal stump) or closure (as for a hernia).

purse-string suture

n.
A continuous circular suture that is pulled together to invert or close an opening.

purse-string su·ture

(pŭrs'string sū'chŭr)
A continuous suture placed in a circular manner either for inversion (as for an appendiceal stump) or closure (as for a hernia).

purse-string suture

A surgical stitch used to close an opening in an internal structure or to narrow a passage. A single strand is inserted, in an in-and-out manner around the opening and the two ends brought out close together. The ends are then pulled tight so that the opening is closed or narrowed, and are then tied. The purse-string suture is widely used in surgery. It is, for instance, used after invagination of the appendix stump in an appendix operation; it is used to prevent miscarriage in cervical incompetence; and it has been used to control rectal prolapse in children.

purse-string su·ture

(pŭrs'string sū'chŭr)
A continuous suture placed in a circular manner either for inversion or closure.
References in periodicals archive ?
In this improved purse-string suture technique, the endoloop and metallic clips were cheap and did not require complicated or specialized equipment.
Hyung, "Intracorporeal esophagojejunostomy using a circular stapler with a new purse-string suture technique during laparoscopic total gastrectomy," Journal of the American College of Surgeons, vol.
Katoh, "Intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy," Surgical Endoscopy and Other Interventional Techniques, vol.
(b) Anvil insertion after laparoscopic hand-sewn purse-string sutures. (c) Insertion of an anvil attached with a thread through an esophagotomy at the anterior wall of the esophagus.
Stegmayr, "Three purse-string sutures allow immediate start of peritoneal dialysis with a low incidence of leakage," Seminars in Dialysis, vol.
Small enterocele sacs can be inverted into the vagina without excision before the purse-string suture is tied.
A purse-string suture closes the sheath over the inguinal side of the vasal transection.(5) Many vasectomists have adopted Schmidt's method of vasal occlusion.
A purse-string suture to close the sheath is placed in two separate steps; 5--0 Vicryl on a small taper-point (gastrointestinal) needle (Ethicon J433H, Ethicon, Inc, Somerville, NJ) is used.
To complete the purse-string suture placement, a small segment of the posterior sheath is grasped with an Adson dressing forceps and lifted up slightly.
Using purse-string sutures, the segmentally oriented resection margins of the tumor bed are narrowed to the spherical applicator.
After mobilisation of glandular tissue, the segmental resection borders were narrowed to the IORT-applicator using purse-string sutures. Resection defects were definitely reconstructed after IORT boost using the predefined oncoplastic principles to achieve optimal esthetic results after breast-conserving surgery (Figure 1).
Keep in mind that purse-string sutures can be particularly effective for suturing small spaces and for closing dead spaces, he said, adding that use of a purse-string closure for a round defect can reduce the final scar length by at least 50%.