Intestinal suture

Intestinal suture is used to connect the edges of the ulcer or intestinal wall for violation of their integrity. Intestinal sutures can be applied manually or by using the sewing machines, joining the ends of the intestine with metal staples. For manual intestinal suture use surgical needle holders (see Surgical instruments), the piercing round surgical (№ 1-4) or atraumatic needles (ACCA-40 or 45) and soft strands of absorbable (catgut) and non-absorbable (silk, linen threads, nylon, Dacron) suture materials. For stitching intestinal loops applies a two-storey seam, consisting of the inner seam, exciting all the layers of the intestinal wall, and the inside seam, which brought the serosal surface of the intestinal wall. For the blending of the inner seam take a thin but strong catgut; when imposing separate external knotted joints take a thread of silk, flax, synthetic materials № 1-2) long 15-16 cm, to overlay a continuous suture - length not less than 45 see
Imposes intestinal suture doctor. In the absence of the assistant operating sister helps to keep the thread end, to catch her and tighten the stitches continuous internal seam and external ties knotted seams. When tying them need to know that the degree of tightening thread should. to ensure that only close contact serosal surfaces: excessive delay can lead to the death of the serous membranes in the field of a seam and the short - to divergence of its edges. And in that and in other case it may be an infection of the peritoneum the contents of the intestine and the subsequent development of peritonitis (see).