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[Slide Show] Sealing the Deal: What You Need to Know Before Going under the Knife

Sutures, surgical needles and wound-closing adhesives play a crucial role in recovering from surgery

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AROUND THE WORLD 20 TIMES:
thumb: AROUND THE WORLD 20 TIMES:

AROUND THE WORLD 20 TIMES:

Ethicon, Inc., makes enough suture thread annually to wrap around the world 20 times along the equator, says Ed Dormier, the company's vice president for new technology....[More]

SEWING THE STERNUM:
thumb: SEWING THE STERNUM:

SEWING THE STERNUM:

Surgical needles are as diverse as the sutures themselves, with some no larger than an eyelash and others nearly the length of an index finger. Many of these needles are made from steel (Ethicon has its own patented Ethalloy steel)....[More]

HOLDING FIRM UNDER PRESSURE:
thumb: HOLDING FIRM UNDER PRESSURE:

HOLDING FIRM UNDER PRESSURE:

Available in Europe since 2007, Ethicon's Prineo Skin Closure System combines self-adhering mesh and a topical skin adhesive as an alternative to sutures in some instances....[More]

SURGICAL MESH:
thumb: SURGICAL MESH:

SURGICAL MESH:

Surgeons often use pieces of mesh to repair a protruding wound, such as a hernia. This mesh consists of polymer fibers woven together in patches that adhere to a wound area....[More]

BUILDING BLOCKS:
thumb: BUILDING BLOCKS:
BUILDING BLOCKS:

Sutures and mesh are made from polymer chips like the ones seen here. They are later stretched into fibers and woven together into braided sutures and mesh patches that adhere to a wound area.

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  1. 1. japeterson 04:52 PM 5/17/09

    There is the new revolutionary INSORB technology for wound closure that is growing in acceptance as a superior modality for surgical wound closure, offering the speed of metal staples with the comfort and cosmesis of absorbable sutures. INSORB technology can rapidly place miniature absorbable staples in the dermis beneath the skin surface holding the wound securely and not apparent to the patient. The staples dissolve after the wound is healed and leave less scar than typically seen with sutures or metal staples. Visit insorb.com
    for more information on this exciting and novel technology.

    Reply | Report Abuse | Link to this
  2. 2. BuckSkinMan 01:20 AM 5/19/09

    I had surgery to repair an aortic aneurism (life threatening) last year. All I can say is that my surgeon did an outstanding job - considering that he had to bisect across the entire abdominal muscle and then "go in" manually all the way to the aorta which lies against the spine.

    Advised beforehand that I'd be in ICU for 1 to 3 days: I was out in just a few hours and awake 7 hours after surgery began. Damned miraculous what they can do today! Only - those darned steel staples (54 of 'em) were "annoying" for the next couple of weeks.

    Anyway: the Science that goes into Medicine - which keeps many people alive who otherwise would die - is reason enough to side with scientists and doctors over "faith based" anything.

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  3. 3. ron971 08:53 PM 5/19/09

    Regarding the problem of leaky dura mater closures: Rain gear manufacturers have been using a flexible glue-like seam sealant to keep the water from seeping through the needle holes for years.

    Could the Prineo or similar material mentioned in the article serve the same purpose?

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  4. 4. cdfoster 04:29 PM 5/20/09

    About a year ago I had surgery for the removal of a run-away parathyroid gland. While I was still in recovery, I received a "get well" card from my brother-in-law which featured a drawing of someone wrapped in duct tape and a sentiment hoping that I was feeling better. Shortly thereafter when I was somewhat mobile, I saw myself in the bathroom mirror. Lo and behold, there were a series of vertical strips running from one side of my neck to the other which looked very much like duct tape. I don't know exactly what these were, but after they were removed a week or two later, there is no scar that I can find, there was absolutely no pain at all, and I feel a hell of a lot better.

    Reply | Report Abuse | Link to this
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