Suturing

[Guest guest]

Plastic surgeons typically use dissovable sutures because there is an enhanced aesthetic appearance. However, internal sutures are not always necessary if the doc knows how to suture. I am allergic to most internal, dissolvable sutures, thus I cannot have them. So, when I had my first neck surgery, my neurosurgeon had to use a suture that was a nylon monofilament. He sutured subcuticularly, so it was still under the skin, but he left "tails" exposed so that he could pull them out in 2 wks. And since he used subcuticular suturing, the scar is very small, light, and barely noticeable unless you get up close to me. Dr. Huang had to use the same technique. The sutures are very small and fine, and she pulled them out in 1 wk. You cannot see my scars from explant at all!! So, don't think that just because a surgeon doesn't use internal dissovable sutures that they are "out of date." Chances are, they are using the technique they are for a reason. When in doubt, question them and ask why. NOW, there are 2 exceptions to docs suturing, and they are orthopedic surgeons and general surgeons. They can't suture if their life depended on it. All orthopedic surgeons are is carpenters---taking things apart, and putting them back together by hammering, banging, pulling, pushing, and twisting. They don't give a rat's ass about the suturing. General surgeons are a little better, but not much. e

[Guest guest]

In areas of greater tension, removal of a subcuticular nylon at two weeks would not give a very good scar. This is is art of plastic surgery which is to use the correct technique for each patient. .

-----Original Message-----From: e Rene [mailto:e_Rene@...]Sent: Sunday, October 06, 2002 5:57 PM Subject: Suturing

Plastic surgeons typically use dissovable sutures because there is an enhanced aesthetic appearance.

However, internal sutures are not always necessary if the doc knows how to suture. I am allergic to most internal, dissolvable sutures, thus I cannot have them. So, when I had my first neck surgery, my neurosurgeon had to use a suture that was a nylon monofilament. He sutured subcuticularly, so it was still under the skin, but he left "tails" exposed so that he could pull them out in 2 wks. And since he used subcuticular suturing, the scar is very small, light, and barely noticeable unless you get up close to me. Dr. Huang had to use the same technique. The sutures are very small and fine, and she pulled them out in 1 wk. You cannot see my scars from explant at all!!

So, don't think that just because a surgeon doesn't use internal dissovable sutures that they are "out of date." Chances are, they are using the technique they are for a reason. When in doubt, question them and ask why. NOW, there are 2 exceptions to docs suturing, and they are orthopedic surgeons and general surgeons. They can't suture if their life depended on it. All orthopedic surgeons are is carpenters---taking things apart, and putting them back together by hammering, banging, pulling, pushing, and twisting. They don't give a rat's ass about the suturing. General surgeons are a little better, but not much.

e