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2 results

  • Chapter 32 - Understanding Sutures and Skin Closure

  • Edited by Daniel Rodger, Kevin Henshaw, Paul Rawling, Scott Miller
  • Book:
    Fundamentals of Operating Department Practice
    Published online:
    18 August 2022
    Print publication:
    08 September 2022, pp 356-364

  • Summary

    This chapter explores the different kinds of sutures available, as well as some additional methods of skin closure. Surgical sutures are a medical device used to hold body tissue together following injury or surgery. There is evidence of suture use going back thousands of years. The application of a suture generally involves using a needle with an attached length of suture thread. Suture thread can be made from numerous materials. The original sutures were made from biological materials, such as catgut, cotton, and silk. Today, most sutures are made of synthetic polymer fibers, with silk being the only biological material still in use.

  • Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches

  • S. Mirza, S. N. Dutt, R. M. Irving
  • Journal:
    The Journal of Laryngology & Otology / Volume 117 / Issue 2 / February 2003
    Published online by Cambridge University Press:
    08 March 2006, pp. 93-98
    Print publication:
    February 2003

  • In pharyngeal pouch surgery, the relatively new technique of endoscopic stapling diverticulotomy has a number of advantages over more traditional surgical treatments, such as Dohlman’s procedure and open pouch excision, and now seems to be the procedure of choice. However, a number of iatrogenic perforations and deaths have been reported with this procedure. We present three cases of iatrogenic perforations occurring during endoscopic stapling of a pharyngeal pouch by different surgeons in our unit, and review the management, causes and prevention of this potentially life-threatening complication.