. The practice of anæsthetics . oarser forms are used for ligatureof thick pedicles or large vessels, for interrupted deepsuture of abdominal wall, &c. Pagcnshchcrs Tliirad.—Silk is unsuitable for sutureof the skin owing to its capillary action and per-meability to septicity. Surgeons are using, more andmore frequently, thread (linen) impregnated with cel-loidin, or similar material, in order to overcome theobjection urged against silk. So-called Pagenstechersthread is an example of this in common use. Silhcorm Gut. Horsehair.—From this point of viewsilkworm gut, sold in different sizes, or ho
. The practice of anæsthetics . oarser forms are used for ligatureof thick pedicles or large vessels, for interrupted deepsuture of abdominal wall, &c. Pagcnshchcrs Tliirad.—Silk is unsuitable for sutureof the skin owing to its capillary action and per-meability to septicity. Surgeons are using, more andmore frequently, thread (linen) impregnated with cel-loidin, or similar material, in order to overcome theobjection urged against silk. So-called Pagenstechersthread is an example of this in common use. Silhcorm Gut. Horsehair.—From this point of viewsilkworm gut, sold in different sizes, or horsehair, arethe two best sutures for the skin. Whatever kind of non-absorbable suture be used, itmay be wound on glass or metal spools, wrapped in 274 LIGATrRES AND SUTURES a napkin, and sterilized with the dressings. The silk-worm gut or horsehair is usually boiled with theinstruments. Sutures may be threaded beforehand, rolled as infigs. 28 and 29, the needles fixed in lint, and the wholesterilized with the Fig. 28.—Method of winding silk suture before sterilization. J
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