Sutures and Incisions

1. Vicryl rapide 2-0 is used to repair Episiotomy & We commonly use Vicryl no.1 sutures to close the uterus at caesarean section. What is the thickness of these sutures respectively?

2. Sherley, 32-year-old, primiparous and normal vaginal delivery. With the removal of placenta, she has increased vaginal bleeding.  Her quantified blood loss is 1800ml. Bleeding wasn’t controlled with oxytocin’s, balloon tamponade. She was shifted to Operation theatre for B lynch suture & bleeding   Was controlled with that. What is the common suture material used for B lynch suture?

3. Mrs.  29-year-old woman, P2L2, has had a rotational forceps delivery of a healthy male infant at term with a suspected extended perineal tear.in theatre, third-degree tear (3b) is diagnosed. What suture material you would use to suture their tear?

4. Ms Julie, an 18-year-old woman had a normal birth of a healthy male infant with the right mediolateral episiotomy performed. The third stage of labor is completed with minimal blood loss; the vagina and perineal muscle layer have been sutured; now the perineal skin needs to be closed

5. Mrs Lucy, the 34-year-old woman, P2L2, has had a rotational forceps delivery of a healthy male infant at term with extensive perineal trauma.  In theatre, a fourth-degree tear is diagnosed and the anorectal mucosa has been sutured and the external and internal anal sphincters now need to be sutured.

6. Mrs Deena, a 39-year-old woman in her first pregnancy has a rotational forceps delivery with an episiotomy in theatre with effective epidural analgesia after prolonged labor.  Inspection of the lower genital tract reveals damage above the episiotomy incision and a 2-cm ‘button-hole’ defect in the vagina that includes the anorectal mucosa is identified and now has to be sutured.

7. You are seeing Ms. Annabel /36year old, now-she is 16 weeks pregnant. She is an international banker by profession. she had preterm delivery at 29 weeks. Her previous Delivery notes show that she had premature rupture of membranes. Transvaginal scan Done today shows a cervical length of 14mm. You counselled her for cervical cerclage.

8. Which of the following suture has the greatest tensile strength?

9. Mrs Deena, 39-year-old woman in her first pregnancy has a rotational forceps delivery with an episiotomy in theatre with effective epidural analgesia after a prolonged labor.  Inspection of the lower genital tract reveals damage above the episiotomy incision and a 2-cm ‘button-hole’ defect in the vagina that includes the anorectal mucosa is identified and sutured with Vicryl 3-0, How many days it takes for absorption of polyglactin?

10. Which one of the following sutures has least days of absorption?