AIIMS Delhi NO - 2018
Medical & Surgical Nursing
Easy

Vicryl 3-0 suture is classified as?

Appeared in: AIIMS Delhi NO - 2018

Explanation

  • Vicryl is the trade name for Polyglactin 910, which is a synthetic, man-made polymer.
  • It is classified as an absorbable suture because it is broken down in the body by hydrolysis and does not require manual removal.
  • The absorption process is reliable and typically completes within 56 to 70 days.
  • This combination makes it suitable for suturing subcutaneous tissue, fascia, and other deep layers where suture removal is not feasible or desired.

Why Other Options Were Wrong

  • Option A: While Vicryl is synthetic, it is an absorbable suture. This option incorrectly classifies it as non-absorbable.
  • Option B: This is incorrect on both counts. Vicryl is synthetic (not natural) and absorbable (not non-absorbable).
  • Option D: While Vicryl is absorbable, it is a synthetic material, not a natural one.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Suture Material Classification as background academic context rather than a clinical decision trigger.
  • Nurses must understand suture types to correctly monitor wound healing, identify signs of complications like infection or suture reaction, and anticipate when suture removal is necessary (if at all).
  • Knowing that Vicryl is absorbable informs the nurse that no suture removal will be needed for the deep layers, which is important for patient education and discharge planning.
  • A nurse assisting in a procedure must be able to correctly identify and pass the requested suture. Handing a non-absorbable suture for a deep layer closure by mistake could lead to future complications for the patient.
How to Approach the Question
  • First, identify the keyword in the question, which is 'Vicryl 3-0 suture'.
  • The question asks for its classification. Recall that sutures are primarily classified based on two main characteristics: their origin (Natural or Synthetic) and their behavior in body tissues (Absorbable or Non-absorbable).
  • Access your knowledge about Vicryl. It is a very common, modern suture material used for deep tissues.
  • Deduce its properties: 'Modern' often points to 'Synthetic' for better consistency and lower tissue reaction. Use in 'deep tissues' strongly implies it must be 'Absorbable' as removal is not possible.
  • Combine these two properties: Synthetic and Absorbable.
  • Scan the options to find the one that matches your derived classification, which is 'Synthetic, absorbable'.
Concept Tested & Keywords
  • Concept Tested: Suture Material Classification
  • Stem keywords: Vicryl 3-0 suture, classified as
  • Lead-in keywords: is classified as

Question ID

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Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 81-83

E6 Gynecology Williams p. 430-440

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